Radiation therapy among atomic bomb survivors, Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Pinkston, J.A.; Antoku, Shigetoshi; Russell, W.J.

1980-10-01

In the continuing evaluations of atomic bomb survivors for late radiation effects, not only doses from the A-bombs but those from other radiation sources must be considered, for the latter may be concomitantly acting factors causing bias among these investigations. In the present study, among 73 Hiroshima and 22 Nagasaki Adult Health Study (AHS) subjects who reported receiving radiation therapy, from 1970 through 1979, the medical records of 72 and 20, respectively, were reviewed, and 41 Hiroshima and 14 Nagasaki subjects were confirmed to have received radiation therapy. The data obtained in the present study were pooled with those of the previous investigation on radiation therapy exposures of AHS subjects prior to 1970. A total of 190 subjects have been documented as receiving radiation therapy and their doses were estimated. Energies used in treatments and diseases treated are discussed. Malignancies developed subsequent to radiation therapy in seven cases; five after treatment for malignancies and two after treatment for benign diseases. Neoplasms of 12 AHS subjects may have been induced by earlier radiation therapy; 5 in the earlier study and 7 in the present one. These investigations underscore the need for continued documentation of exposures to ionizing radiation for medical reasons, especially from sources incurring relatively high doses. Bias in assessments of late radiation effects among A-bomb survivors can thus be avoided. (author)

Teaching Hiroshima: Thinking about the Unthinkable.

Science.gov (United States)

Dyke, Reg

1983-01-01

Describes the instructional materials used in a sophomore literature course to deal with the topic of possible nuclear destruction, including John Hersey's "Hiroshima"; photographs of Hiroshima and Nagasaki; Carl Sagan's "Cosmos"; and specially prepared handouts and worksheets. (LAL)

ABCC-JNIH pathology studies: Hiroshima and Nagasaki. Report 1, October 1950-September 1962

Energy Technology Data Exchange (ETDEWEB)

Angevine, D M; Jablon, S; Matsumoto, Y S

1962-01-01

A sample of 100,000 persons in both Hiroshima and Nagasaki was constructed to serve as the basis for the JNIH-ABCC Life Span Study. A subsample of 20,000 is the basis for the ABCC-JNIH Adult Health Study. The third element, the pathology program was instituted to endow the autopsy program with the high degree of statistical control characterizing the Life Span and Adult Health studies. A study of the autopsy series (1215 cases) was made to: (1) determine how adequately the more recent cases meet the expectations with respect to age, sex, city, and distance from the hypocenter, and to determine whether any of the original bias still exists and if so, to what extent; (2) ascertain the degree of correlation between death certificate diagnoses and the autopsy anatomic diagnoses; and (3) determine what effect, if any, the degree of exposure to radiation may have had upon different disease groups, with special emphasis on various maligmant tumors. (ACR)

ABCC-JNIH adult health study Hiroshima and Nagasaki 1961 exposure to medical x-ray. Preliminary survey

Energy Technology Data Exchange (ETDEWEB)

Ishimaru, Toranosuke; Russell, W J

1962-05-16

A survey was conducted for three months among subjects seen in the medical clinics of ABCC, Hiroshima and Nagasaki, to determine the extent of medical x-ray received in ABCC and other hospitals and clinics. Emphasis was chiefly methodological to prepare for later studies designed to evaluate the contribution of medical x-ray to total radiation dose received by survivors of the atomic bombings and controls. The frequency, the institution in which the subject received x-ray, as well as the types of exposure were the prime considerations in the survey. The data were analyzed for each city by sex, age, and exposure status. 2 references, 5 figures, 11 tables.

Estimate of person-years at risk among A-bomb survivors, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Hrubec, Z

1964-11-19

Using information from the Supplementary Schedules of the 1950 National Census and from the JNIH-ABCC Life Span Study, cumulative person-years at risk in 1950 to 1960 were estimated by age ATB, sex, distance from hypocenter, radiation dose and symptoms for A-bomb survivors resident in Hiroshima and Nagasaki cities. The number of person-years at risk in 1951 to 1958 was estimated by applying the survivorship in each age group of the Adult Health Study sample during the period 1951 to 1958 to the number of survivors in 1950. To determine the number of person-years at risk from 1959 to 1960, the average yearly loss was evaluated for each exposure group for the period 1955 to 1958 in Hiroshima and for 1953 to 1958 in Nagasaki which was then applied to 1959 and 1960, respectively. The estimate of person-years among the nonexposed groups for this period was obtained from the above estimates, the total population of both cities, and the number of persons born after the A-bombing. Estimates by other associated factors were obtained by the same procedure. 20 references, 25 tables.

A lifelong journey of moving beyond wartime trauma for survivors from Hiroshima and Pearl Harbor.

Science.gov (United States)

Liehr, Patricia; Nishimura, Chie; Ito, Mio; Wands, Lisa Marie; Takahashi, Ryutaro

2011-01-01

This study examines 51 stories of health, shared by people who survived the wartime trauma of Hiroshima and Pearl Harbor, seeking to identify turning points that moved participants along over their lifetime. The central turning point for Hiroshima survivors was "becoming Hibabusha (A-bomb survivor)" and for Pearl Harbor survivors was "honoring the memory and setting it aside." Wartime trauma was permanently integrated into survivors' histories, surfacing steadily over decades for Hiroshima survivors and intermittently over decades for Pearl Harbor survivors. Regardless of experience or nationality, participants moved through wartime trauma by connecting with others, pursuing personal and global peace.

ABCC-JNIH Adult Health Study Hiroshima, 1958 to 1959. Hypertension and ischemic heart disease

Energy Technology Data Exchange (ETDEWEB)

Switzer, S

1963-11-12

The interrelations of hypertension, ischemic heart disease, blood lipid levels and ionizing irradiation were investigated among 1051 male and 1872 female members of the ABCC-JNIH Adult Health Study. No significant effect of ionizing irradiation upon the cardiovascular system were detected. No major difference in age-sex specific mean blood pressures between Adult Health Study subjects and a suitable American comparison group was found. An accelerated course with fulminating vascular deterioration was suspected in only 1% of the hypertensive subjects. As a result, advanced retinopathy and renal failure were rarely seen. Electrocardiographic evidence of left ventricular hypertrophy occurred in 7.2% of the hypertensive subjects in this study, and was readily correlated with ambient systolic blood pressure. Evidences of ischemic heart disease and congestive failure were rare and distinctly less common than in American males unselected as to blood pressure levels. In contrast, mortality statistics indicate cerebrovascular disease to be at least as common in Japan as in the United States. Adult Health Study data exhibit low serum cholesterol concentrations by Western standards and elevated levels are predominantly limited to the obese. Both factors appear of importance in the occasional hypertensive subject with ischemic heart disease. The therapeutic implication of this observation is briefly discussed. 57 references, 10 tables.

Experiences and extrapolations from Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Harwell, C.C.

1985-01-01

This paper examines the events following the atomic bombings of Hiroshima and Nagasaki in 1945 and extrapolates from these experiences to further understand the possible consequences of detonations on a local area from weapons in the current world nuclear arsenal. The first section deals with a report of the events that occurred in Hiroshima and Nagasaki just after the 1945 bombings with respect to the physical conditions of the affected areas, the immediate effects on humans, the psychological response of the victims, and the nature of outside assistance. Because there can be no experimental data to validate the effects on cities and their populations of detonations from current weapons, the data from the actual explosions on Hiroshima and Nagasaki provide a point of departure. The second section examines possible extrapolations from and comparisons with the Hiroshima and Nagasaki experiences. The limitations of drawing upon the Hiroshima and Nagasaki experiences are discussed. A comparison is made of the scale of effects from other major disasters for urban systems, such as damages from the conventional bombings of cities during World War II, the consequences of major earthquakes, the historical effects of the Black Plague and widespread famines, and other extreme natural events. The potential effects of detonating a modern 1 MT warhead on the city of Hiroshima as it exists today are simulated. This is extended to the local effects on a targeted city from a global nuclear war, and attention is directed to problems of estimating the societal effects from such a war

The message of Hiroshima

International Nuclear Information System (INIS)

Shimizu, S.

1982-01-01

A review of the research conducted during the Second World War by Japanese scientists and their in-situ experiences on the Hiroshima atomic bomb effects a week after the explosion is given. Details are presented on the activity data of samples from the site, on the results of half-life measurements and of chemical analyses. From these data the site of explosion and the neutron flux on the surface were computed. The damages caused by the Hiroshima and Nagasaki bombs were compared. Further, an account on the powder from the Bikini H-bomb explosion is given. Finally, the author protests against the military uses of nuclear energy. (R.P.)

Contributing factors to long-term psychological consequences in Hiroshima A-bomb survivors

International Nuclear Information System (INIS)

Asukai, Nozomu; Sugiyama, Hiromi; Kato, Hiroshi; Nakajima, Midori; Saeki, Toshinari

2012-01-01

The atomic bombing in Hiroshima on August 6, 1945, caused an estimated casualty of 140,000 by the end of that year. Survivors faced hideous scenes and many lost family members. Later, in the early 1960s, increased rates of leukemia and other types of cancer were observed among the survivors. These long-term health effects caused serious apprehension to linger. However, only a few studies on psychological consequences among the survivors have been conducted. In 2008, Hiroshima City commissioned our study team to perform a large-scale survey on long-term health effects among the survivors. We delivered a questionnaire by mail to all subjects who were living in Hiroshima City and adjacent towns prior to the release of the A-bomb until the study was implemented. The number of potential subjects was 31,598 and the response rate was 75%. We analyzed a subsample of subjects (n=14,373) whose age at the event was 8 or above. In the multiple regression analysis, hibakusha (A-bomb victims) and those who were exposed to the Black Rain (fall-out) showed poor mental health compared to the comparison group on SF-8, K6 and IES-R scores even after adjusting socio-demographic variables. Although traumatic experiences at the event still affected mental health, anxiety for health effects and social stigma showed greater impact. Our findings suggest that even 63 years after the event, apprehension of health effects and social stigma harm mental health in A-bomb survivors. Our findings may also suggest that long-term risk communication will be vital to mitigate mental health effects among survivors of the Fukushima nuclear disaster. (author)

Contributing factors to long-term psychological consequences in Hiroshima A-bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Asukai, Nozomu [Tokyo Metropolitan Inst. of Medical Science, Tokyo (Japan); Sugiyama, Hiromi [Radiation Effects Research Foundation, Hiroshima, Hiroshima (Japan); Kato, Hiroshi [Hyogo Inst. for Traumatic Stress, Kobe, Hyogo (Japan); Nakajima, Midori [Hiroshima International Univ., Faculty of Psychological Science, Higashi-Hiroshima, Hiroshima (Japan); Saeki, Toshinari [Hiroshima Univ., Faculty of Medicine, Hiroshima, Hiroshima (Japan)

2012-05-15

The atomic bombing in Hiroshima on August 6, 1945, caused an estimated casualty of 140,000 by the end of that year. Survivors faced hideous scenes and many lost family members. Later, in the early 1960s, increased rates of leukemia and other types of cancer were observed among the survivors. These long-term health effects caused serious apprehension to linger. However, only a few studies on psychological consequences among the survivors have been conducted. In 2008, Hiroshima City commissioned our study team to perform a large-scale survey on long-term health effects among the survivors. We delivered a questionnaire by mail to all subjects who were living in Hiroshima City and adjacent towns prior to the release of the A-bomb until the study was implemented. The number of potential subjects was 31,598 and the response rate was 75%. We analyzed a subsample of subjects (n=14,373) whose age at the event was 8 or above. In the multiple regression analysis, hibakusha (A-bomb victims) and those who were exposed to the Black Rain (fall-out) showed poor mental health compared to the comparison group on SF-8, K6 and IES-R scores even after adjusting socio-demographic variables. Although traumatic experiences at the event still affected mental health, anxiety for health effects and social stigma showed greater impact. Our findings suggest that even 63 years after the event, apprehension of health effects and social stigma harm mental health in A-bomb survivors. Our findings may also suggest that long-term risk communication will be vital to mitigate mental health effects among survivors of the Fukushima nuclear disaster. (author)

Abdominal ultrasonographic screening of adult health study participants

International Nuclear Information System (INIS)

Russell, W.J.; Higashi, Yoshitaka; Fukuya, Tatsuro

1989-11-01

To assess ultrasonography's capabilities in the detection of cancer and other diseases, abdominal ultrasonographic screening was performed for 3,707 Hiroshima and 2,294 Nagasaki atomic bomb survivors and comparison subjects who participated in the Adult Health Study from 1 November 1981 to 31 October 1985 in Hiroshima and from 1 August 1984 to 31 July 1986 in Nagasaki. A total of 20 cancers was detected, consisting of 7 hepatomas, 3 gastric cancers, 3 renal cancers, 2 cancers of the urinary bladder, and 1 cancer each of the ovary, pancreas, colon, ureter and liver (metastatic). The cancer detection rate was 0.33 %. The diagnoses of seven cancer subjects in each city were subsequently confirmed at autopsy or surgery; diagnoses of four cancer subjects in Hiroshima and two in Nagasaki were obtained from death certificates. Among the 20 cancer patients, 13 were asymptomatic. After the ultrasonographic detection and diagnosis of these 20 cancers, the medical records of each of the 20 cancer patients were reviewed for any evidence of cancer detection by other examining techniques, and the records of only 3 patients revealed such recent detection. The tumor and tissue registries were similarly checked, but no evidence of earlier diagnosis of their disease was found. Ten of the cancer patients had received ionizing radiation doses from the A-bombs ranging up to 3,421 mGy (DS86), but no correlation was established between cancer prevalence and the A-bomb doses. A variety of tumors, 259 in number and most probably benign, were also detected with ultrasonography. In addition, numerous other abnormalities were diagnosed, with prevalences of 7.7 % for cholelithiasis, 5.7 % for renal cysts, and 3.8 % for liver cysts. No statistical analysis was performed concerning the prevalence of the diseases detected. (author)

Sulfur activation in Hiroshima

International Nuclear Information System (INIS)

Kerr, G.D.; Pace, J.V. III.

1987-01-01

In 1979, we attempted to establish the validity of source terms for the Hiroshima and Nagasaki bombs using experimental data on sulfur activation. Close agreement was observed between measured and calculated values for test firings of Nagasaki-type bombs. The calculated values were based on source terms developed by W.E. Preeg at the Los Alamos National Laboratory (LANL). A discrepancy was found, however, when we compared calculated values for the two bombs because a 1956 report by R.R. Wilson stated that sulfur acitvation by fast neutrons in Hiroshima was approximately three times greater than in Nagasaki. Our calculations based on Preeg's source-term data predicted about equal sulfur activation in the two cities

The Hiroshima neutron dosimetry enigma: Missing puzzle piece No. 6

International Nuclear Information System (INIS)

Gold, Raymond

1999-01-01

More than a decade has elapsed since the serious nature of the discrepancy between neutron dosimetry experiments (E) and neutron transport calculations (C) for the Hiroshima site was identified. Since that time extensive efforts to resolve this Hiroshima neutron dosimetry enigma have not only failed, but now demonstrate that the magnitude of this discrepancy is much greater than initially estimated. The currently evaluated E/C ratio for thermal neutron fluence at the Hiroshima site increases rapidly with increasing slant range from the epicenter. In the slant range region beyond 1000 m, E/C exceeds unity by one to two orders of magnitude depending on the specific dosimetry data that are utilized. Principal features that characterize the Hiroshima neutron dosimetry enigma are summarized. Puzzle Piece No. 6: In-situ production and Prompt fallout of radionuclides from Little Boy is advanced as a possible contributory phenomenon to this enigma. (The atom bomb detonated over Hiroshima was called Little Boy.) Measurements of 60 Co and 152 Eu specific activity at the Hiroshima site are used to obtain order of magnitude numerical estimates that show this conjecture is plausible. Comparison of different 60 Co measurements at the Hiroshima site reveals that the variation of E/C with slant range depends on the method used to quantify 60 Co specific activity as well as the type of dosimetry samples that are employed. These 60 Co comparisons lend additional qualitative credence to this conjecture. Within the limits of presently available data, these assessments show that Puzzle Piece No. 6 qualitatively satisfies the principal features that characterize the Hiroshima neutron dosimetry enigma. Nevertheless, current lack of data prevent this conjecture from being conclusively confirmed or refuted. Consequently, specific recommendations are advanced to resolve the Hiroshima neutron dosimetry enigma with emphasis on experimental tests that can quantitatively evaluate Puzzle Piece

Relationship of stature to gamma and neutron exposure among atomic bomb survivors aged less than 10 at the time of the bomb, Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Ishimaru, Toranosuke; Amano, Takako; Kawamoto, Sadahisa.

1982-10-01

A reanalysis has been undertaken of the relationship of attained adult height of Hiroshima and Nagasaki atomic bomb survivors aged less than 10 at the time of the bomb (ATB) to radiation dose based upon new dosimetry data. The present analysis aims to examine the relationship of stature to radiation dose in terms of gamma rays and neutrons, separately. The 628 individuals were selected from Hiroshima and Nagasaki survivors, aged less than 10 ATB, whose doses were available, and whose statures were recorded at the Adult Health Study (AHS) biennial health examination during 1970-72. To ascertain the relationship of attained adult stature to gamma and neutron doses three doseresponse models were applied to the data. The analysis revealed that the attained height is a separate function of exposure to gamma rays and neutrons. The model assuming a squared term dependence on gamma rays and a linear dependence on neutrons provides a better explanation of the data. The regression coefficient associated with the squared gamma dose is -0.00000927 and the coefficient associated with neutron dose is -0.0172. The relative biological effectiveness of neutrons in relation to gamma radiation with respect to the effect for diminished development of stature is estimated as 43.1 / √Dn in kerma (Dn=neutron dose). The 95% confidence limits are 19.3 / √Dn--96.5 / √Dn. (author)

Smoking and serum proteins in atomic bomb survivors in Hiroshima

International Nuclear Information System (INIS)

Stram, D.O.; Akiba, Suminori; Neriishi, Kazuo; Hosoda, Yutaka; Stevens, R.G.

1989-09-01

Associations of smoking habit with serum levels of total protein as well as protein fractions were studied in a population consisting of 4,739 atomic bomb survivors and unexposed control subjects in Hiroshima who participated in the 1979-81 period of the Adult Health Study, an on-going health follow-up program of the RERF. Smoking was strongly related to serum protein concentration after correction for age, sex, and body mass index. Among current smokers as compared to nonsmokers, levels of total protein, β globulin, and γ globulin were significantly lower (p 1 and α 2 globulin were significantly higher (p 1 globulin. Duration of smoking (years) was related to increased α 1 and α 2 globulin. Smoking duration was also associated with albumin level but the trend was not monotonic. The radiation exposure effect on serum protein level was significant in several instances but was in general much smaller than the smoking effect. Its inclusion in the regression models did not noticeably affect the association between smoking and serum proteins. (author)

Serum pepsin levels Hiroshima adult health study. Relation to radiation, ABO blood groups, and gastrointestinal diseases

Energy Technology Data Exchange (ETDEWEB)

Knittle, J L

1961-07-12

At the ABCC clinic in Hiroshima 1330 subjects were investigated as to serum pepsin levels over a four month period. The normal mean values compared well with those reported for a United States population using a similar technique. There appeared to be no significant change in serum pepsin level with age, and no difference could be detected among individuals of the ABO blood groups. No relationship was found between serum pepsin level and exposure to ionizing radiation. Patients with gastric and duodenal ulcers had mean levels which were higher than normal mean values, while patients with leukemia had lower than normal mean levels. Patients with gastric polyps and gastric cancer had normal mean values. It is believed that the relation of serum pepsin activity to cancer of the stomach is not settled and deserves further investigation. 23 references, 2 figures, 4 tables.

From Hiroshima to Harrisburg

International Nuclear Information System (INIS)

Garrison, J.

1980-01-01

The subject is covered in chapters, as follows: (Part I): Hiroshima and the advent of the atomic bomb: the Manhattan Engineer District Project; the milieu of war; scientific opposition to the use of the atomic bomb; Trinity; Hiroshima; Nagasaki and surrender; Hibakusha; from trust to terror; the nuclear arms spiral; fallout; the rationale for nuclear weapons; nuclear proliferation; thinking the unthinkable; the age of overkill; (Part II):the road to Harrisburg: radiation; meltdown effects and probabilities; nuclear accidents; Harrisburg; the effects of low-level ionizing radiation; the nuclear fuel cycle (mining; milling; uranium conversion; uranium enrichment; fuel fabrication; nuclear reactors; reprocessing; transportation; waste management; summary); (Part III): Karen Silkwood - a life in death: (Part IV): our challenge - overcoming psychic numbing: (Part V): an alternative vision: the soft energy path; the way of nonviolence. (U.K.)

Hiroshima - the effects of the atom bomb

International Nuclear Information System (INIS)

McClelland, M.

1977-01-01

The author, a nurse, describes her personal impressions of a visit to Hiroshima in 1977 and of the medical and nursing facilities available for atomic bomb survivors in Japan. The findings of the Radiation Effects Research Foundation are briefly summarized. Hiroshima's Red Cross Hospital, recently re-built, cares for some of the survivors. The problems of discrimination against the survivors in employment and in society are discussed. (U.K.)

ABCC-NIH adult health study, Hiroshima 1958-1960. Cardiovascular project report Number 6, heart size norm

Energy Technology Data Exchange (ETDEWEB)

Ueda, Shoichi, Russell, W.J.; Yano, Katsuhiko

1962-05-01

Utilizing the information obtained from the detailed clinical examinations of subjects seen at the Atomic Bomb Casualty Commission, standard heart size determinations in the Hiroshima population are provided. A formula has been devised to express the normal transverse cardiac diameter, obtained from the routine posteroanterior chest roentgenogram, in relation to weight, height, and age. The analysis was made for each sex separately. Values computed by using this formula are regarded as standard heart size. Deviations from the standard are interpreted as individual variability in the normal group, with a standard deviation of 9 mm. When this standard was applied to abnormal subjects, a high correlation between the relative heart size and the blood pressure or the presence of overt heart disease was evident. For this reason, the relative heart size for this standard should prove useful, together with other related factors, in the diagnosis and investigation of cardiovascular disease. A nomograph has been devised for practical use. 12 references, 7 figures, 4 tables.

Carcinogenesis in Hiroshima and Nagasaki. Observations from ABCC-JNIH pathology and statistical studies

Energy Technology Data Exchange (ETDEWEB)

Zeldis, L J; Jablon, S; Ishida, Morihiro

1963-01-01

Studies in Hiroshima and Nagasaki of a possible carcinogenic effect of radiation in survivors of the atomic bombings are included in programs conducted jointly by the Atomic Bomb Casualty Commission (ABCC) and the Japanese National Institute of Health (JNIH) with the collaboration of physicians and medical organizations in both cities. In order to cope with epidemiologic problems that attend these, in common with other studies of human populations, ABCC-JNIH programs are now oriented to the intensive surveillance of health, morbidity, and mortality principally in known, fixed cohorts of the survivors. The data reported here are derived from 3 interrelated programs in Hiroshima and Nagasaki: the JNIH-ABCC Life Span Study, Tumor Registry Studies, and Joint ABCC-JNIH Pathology Studies. The population samples utilized in these studies are defined along with summarizing pertinent information concerning their exposure to ionizing radiation.

Cytogenetics of the in-utero exposed of Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Neriishi, Shotaro; Shimba, Hachiro

1978-01-01

The presence of chimaerism in peripheral lymphocyte chromosome 21 years after A-bomb radiation was examined using 16 males who had been exposed in-utero to radiation from A-bomb in Hiroshima and Nagasaki. (10 cases in Hiroshima and 6 cases in Nagasaki). At the same time, doses of in-utero radiation were estimated. It was found that no cells possess XX chromosome by observing 1,600 chromosome metaphases in 16 cases (100 per a person). Estimated dose of in-utero radiation was 44 - 151 rad, or 75.6 rad on the average for 10 cases in Hiroshima and 61 - 197 rad, or 104 rad on the average for 6 cases in Nagasaki. Estimated radiation dose of their mothers used as a basis for estimating in-utero radiation dose was 120 - 149 rad or 207.9 rad on the average for cases in Hiroshima and 148 - 477 rad or 251 rad on the average for cases in Nagasaki. A ratio of total dose given to mother to that given to fetus was 2.75 in cases of Hiroshima and 2.41 in those of Nagasaki. (Iwagami, H.)

Residual radiation in Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Arakawa, E T

1962-02-01

These results show that the fission product fallout and neutron-induced radioactive isotopes can be separated very conveniently by locations in the city, i.e., the fallout occurred in the Koi-Takasu area of Hiroshima and the Nishiyama area of Nagasaki with negligible fallout in the hypocenter area. The activity in the hypocenter areas of both cities can be accounted for as due principally to neutron induced radioactive isotopes. The maximum exposure from fallout in Hiroshima is considered to have been a few r and in Nagasaki approximately 30 r. From one hour to infinite time after the detonations, the maximum possible neutron induced radiation exposure dose at the hypocenter in Hiroshima is estimated to be in the range from 183 r to 24 r, depending upon the method of calculation. Method III, which yileds 24 r appears to be subject to the least number of uncertainties and thus is the most reliable figure. The excellent agreement between these calculations and the measured activities also further supports the soundness of Method III. This method gives 4 r as the infinity dose at the hypocenter in Nagasaki. These values are considered to be of such loss magnitude as to be of negligible consequence. It should also be emphasized that even for the calculation which yields a maximum dose of 183 r, the probability of an individual being exposed to this dose is very small. These facts suggest that after the detonations in Hiroshima and Nagasaki radiation levels were such that very few individuals, if any, received significant amounts of residual radiation from external sources. 17 references, 4 figures, 3 tables.

Studies on population change of atomic bomb survivors in Hiroshima prefecture 1965-1979

International Nuclear Information System (INIS)

Ueoka, Hiroshi; Munaka, Masaki; Kurihara, Minoru

1984-01-01

Studies of population change of Japanese Atomic Bomb Survivors from 1965 to 1979 in Hiroshima prefecture of which registered in Data Base of Atomic Bomb Survivors of RINMB were conducted, and following were obtained: 1. Population change of Japanese Atomic Bomb Survivors showed increasing trend until 1976 and diminishing trend from 1977. It would be estimated that reason of increasing trend of Atomic Bomb Survivors was correlated the same trend to get register card of ''Atomic Bomb Treatment Law'', and decreasing trend of them was related so much death of the elderly generations. 2. Analysing by residential place the survivors who make a living in Hiroshima city was almost 110,000, and those who make a living in Hiroshima prefecture (except Hiroshima city) was 65,000. Considering exposed distance of the survivors in Hiroshima city, those survivors exposed within 2 km showed diminishing trend; and those who make a living in Hiroshima prefecture (except Hiroshima city), exposed within 2 km showed increasing trend. 3. In 1979, the ratio of male and female survivors by age level showed difference. Those male survivors over 50 years old in Hiroshima city showed much lower percentage than female. 4. In 1979, the population trends of survivors who get the ''card'' before 1964 showed rapid decrease, and those who get the ''card'' after 1965 showed mild decrease. (author)

Carcinogenesis in Hiroshima and Nagasaki. Observations from ABCC-JNIH pathology and statistical studies

Energy Technology Data Exchange (ETDEWEB)

Zeldis, L J; Jablon, S; Ishida, Morihiro

1963-01-01

Studies in Hiroshima and Nagasaki of a possible carcinogenic effect of radiation in survivors of the atomic bombings are included in programs conducted jointly by the Atomic Bomb Casualty Commission (ABCC) and the Japanese National Institute of Health (JNIH) with the collaboration of physicians and medical organizations in both cities. In order to cope with epidemiologic problems that attend these, in common with other studies of human populations. ABCC-JNIH programs are now oriented to the intensive surveillance of health, morbidity, and mortality principally in known, fixed cohorts of the survivors. The data reported here are derived from 3 interrelated programs in Hiroshima and Nagasaki: the JNIH-ABCC Life Span Study, Tumor Registry Studies, and Joint ABCC-JNIH Pathology Studies. The population samples utilized in these studies are defined along with summarizing pertinent information concerning their exposure to ionizing radiation. 11 references, 2 figures, 10 tables.

Statistical aspects of tumor registries, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Ishida, M

1961-02-24

Statistical considerations are presented on the tumor registries established for purpose of studying radiation induced carcinoma in Hiroshima and Nagasaki by observing tumors developing in the survivors of these cities. In addition to describing the background and purpose of the tumor registries the report consists of two parts: (1) accuracy of reported tumor cases and (2) statistical aspects of the incidence of tumors based both on a current population and on a fixed sample. Under the heading background, discussion includes the difficulties in attaining complete registration; the various problems associated with the tumor registries; and the special characteristics of tumor registries in Hiroshima and Nagasaki. Beye's a posteriori probability formula was applied to the Type I and Type II errors in the autopsy data of Hiroshima ABCC. (Type I, diagnosis of what is not cancer as cancer; Type II, diagnosis of what is cancer as noncancer.) Finally, the report discussed the difficulties in estimating a current population of survivors; the advantages and disadvantages of analyses based on a fixed sample and on an estimated current population; the comparison of incidence rates based on these populations using the 20 months' data of the tumor registry in Hiroshima; and the sample size required for studying radiation induced carcinoma. 10 references, 1 figure, 8 tables.

Health effects on individuals and health services of the Hiroshima and Nagasaki bombs

International Nuclear Information System (INIS)

Ohkita, T.

1984-01-01

Human injuries caused by the A-bomb can be categorized as the result of thermal rays, ionizing radiation, or blast. Many persons sustained injuries from more than one cause, any one of which could have been fatal. In addition to such direct injuries, indirect injuries were sustained, caused by fire or the fall of rubble from demolished buildings. The severity of early A-bomb injuries was directly proportional to distance from the hypocentre. Many hospitals and clinics throughout Hiroshima City and Nagasaki City were destroyed or damaged depending on their distance from the hypocentre and the extent to which they were shielded topographically

Clinical survey of blood dyscrasias among Hiroshima a-bomb survivors by the periodical health examination, 5

International Nuclear Information System (INIS)

Taketomi, Yoshinori; Abe, Tsutomu; Okita, Hajime; Kamada, Nanao; Kuramoto, Atsushi

1980-01-01

Certain blood examinations were performed on a-bomb survivors having anemia more than moderate stage (the hemoglobin value under 9.0 g/dl), who were found out by the periodical health examination performed in Hiroshima-A-bomb Survivors Health Control Clinic during the latter period of the fiscal year 1975. The total number of a-bomb survivors who received the periodical health examination was 50,973, and the number of survivors whose hemoglobin value was under 9.0 g/dl was 201 (0.39%). The incidence of such anemia was high in women. There was not a relationship between this anemia and the exposure distance from the hypocenter. The incidence of this anemia was high in young a-bomb survivors, and more than 50% of a-bomb survivors having this anemia was under the age of 50. Iron-deficiency anemia was found in 88% of a-bomb survivors, and the course of their anemia ran in many years in many a-bomb survivors. (Tsunoda, M.)

Speech by the director of the Peace Memorial Museum, Hiroshima

International Nuclear Information System (INIS)

Harada, H.

1997-01-01

The Peace Memorial Museum in Hiroshima, established in 1955, shows not only the scenes of the city after the explosion but its main task is to send the messages of peace to the world, from the citizens of Hiroshima who are appealing for abolition of nuclear weapons for 50 years

High incidence of meningioma among Hiroshima atomic bomb survivors

International Nuclear Information System (INIS)

Shintani, Takahiro; Hayakawa, Norihiko; Hoshi, Masaharu

1999-01-01

Since the atomic bomb explosions in Hiroshima and Nagasaki, high incidences of leukemia, thyroid cancer and other tumors have been reported as atomic bomb-induced tumors. We investigated the incidence of meningioma among Hiroshima atomic bomb survivors. Sixty-eight patients surgically treated for meningioma who had been within 2.0 km of the hypocenter of the explosion were identified. Six hundred and seven non-exposed patients with meningioma were also studied. Treatment dates were from 1975 to 1992. The incidences of meningioma among 68 subjects within 2.0 km and 607 non-exposed patients were 8.7 and 3.0 cases per 10 5 persons per year, respectively. The incidences of meningioma among the survivors of Hiroshima in 5-year intervals since 1975 were 5.3, 7.4, 10.1, and 14.9, respectively. The incidences of meningioma classified by distances from the hypocenter of 1.5-2.0 km, 1.0-1.5 km and less than 1.0 km were 6.3, 7.6 and 20.0, respectively. The incidences of meningioma classified by doses to the brain of 0-0.099 Sv, 0.1-0.99 Sv and more than 1.0 Sv were 7.7, 9.2 and 18.2, respectively. The incidence of meningioma among Hiroshima atomic bomb survivors has increased since 1975. There was a significant correlation between the incidence and the dose of radiation to the brain. The present findings strongly suggest that meningioma is one of the tumors induced by atomic bombing in Hiroshima. (author)

Under the Mushroom-Shaped Cloud in Hiroshima

International Nuclear Information System (INIS)

Broda, E.

1981-01-01

In 1945 Shuntaro Hida was a young doctor. In a village at the periphery of Hiroshima he survived and he immediately began caring for victims. He has (recently?) written an eye-witness account, of which in a Western language apparently only a manuscript exists. I have extracted a few passages from the document of 41 pages. A few spelling and typing errors were corrected. - Be it added that many of the atomic weapons now in the arsenals of the powers are more than a thousand times stronger than the bomb of Hiroshima. Some 60.000 atomic weapons are thought to exist. (author)

ABCC-JNIH Adult Health Study. Report 2. 1958-1960 cycle of examinations Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Sagan, L; Seigel, D

1963-10-29

This report has presented the basic data collected during the 1958 to 1960 cycle of examinations in the ABCC-JNIH Adult Health Study in Nagasaki. No large differences were found among the 4 comparison groups. The only exceptions are to be found in a number of nonspecific complaints elicited during the review of systems. Inevitably in a review of this size some differences appeared between groups. These are pointed out in the text whenever possible. None were so large, nor so consistent within specific age and sex groups, however, that they could be categorically attributed to radiation. It will be necessary to compare them with subsequent medical experience in this study group and in Hiroshima. 13 references, 41 tables.

Cardiovascular disease in relation to exposure to ionizing radiation. ABCC-JNIH Adult Health Study Hiroshima 1958-60. Cardiovascular Project Report 4

Energy Technology Data Exchange (ETDEWEB)

Yano, Katsuhiko; Ueda, Shoichi

1962-12-12

The prevalence of cardiovascular disease in Hiroshima atomic bomb survivors was analyzed for a possible radiation effect. Suggestive differences among comparison groups were observed concerning: High blood pressure in both sexes; Prevalence of coronary heart disease in females; and Age change in serum cholesterol level in males. It is not clear, however, from the present data whether these differences are radiation effects per se or concomitant effects of differences in environmental factors or even in accuracy of diagnosis. These points will be further investigated as follow-up data become available. 15 references, 2 figures, 17 tables.

Measurement of the residual radiation intensity at the Hiroshima and Nagasaki atomic bomb sites. Penetration of weapons radiation: application to the Hiroshima and Nagasaki studies

Energy Technology Data Exchange (ETDEWEB)

Pace, N; Smith, R E; Ritchie, R H; Hurst, G S

1959-01-01

This document contains 2 reports. The first is on the measurement of residual radiation intensity at the Hiroshima and Nagasaki bomb sites, the second is on the penetration of weapons radiation at Hiroshima and Nagasaki. Separate abstracts have been prepared for each report for inclusion in the Energy Database. (DMC)

Incidence of thoracic vertebral fractures among adult health study participants, Hiroshima and Nagasaki, 1958-86

International Nuclear Information System (INIS)

Fujiwara, Saeko; Mizuno, Shoichi; Ochi, Yoshimichi; Sasaki, Hideo; Kodama, Kazunori; Russell, W.J.; Hosoda, Yutaka.

1990-01-01

The incidence of thoracic vertebral fractures (TVF) in a fixed Hiroshima and Nagasaki population of 16,027 was determined by sex, age, and atomic bomb ionizing radiation exposure. Diagnosis was based on lateral chest radiographs made from 1 July 1958 to 28 February 1986. Born between 1880 and 1940, the subjects were categorized by sex into 10-year birth cohorts. When examined by birth cohort and age at onset, the age dependency of TVF incidence showed a good fit to a log-linear regression model. In females, TVF incidence tended to be lower in the younger birth cohorts and tended to increase with age in all birth cohorts. With each 10-year increase in age, the incidence among females increased by a factor of 1.7. In males, the incidence was significantly lower in the younger birth cohorts, but did not increase with age. The incidence decreased by a factor of 0.5 in males and 0.6 in females as the birth cohort age became younger. TVF incidence was greater in males until the age of 50, was equal by sex in the sixth decade, and was greater among females, who were 60 years of age or older. TVF incidence did not differ by city, and no correlation with A-bomb radiation exposure was demonstrated. (author)

Long term observation on absolute lymphocyte counts in the adult health study sample, Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Oesterle, S.N.; Norman, J.E. Jr.

1980-01-01

Total peripheral blood lymphocytes were evaluated by age and exposure status in the Adult Health Study population during three examination cycles between 1958 and 1972. No radiation effect was observed, but a significant drop in the absolute lymphocyte counts of those aged 70 years and over and a corresponding maximum for persons aged 50 - 59 was observed. (author)

Japan - From Hiroshima to Fukushima

International Nuclear Information System (INIS)

Pons, Philippe; Guillain, Robert; Pedroletti, Brice; Bouc, Alain; Vichney, Nicolas; Izraelewicz, Erik; Mesmer, Philippe; Fenoglio, Jerome

2013-01-01

This publication proposes a set of articles published by Le Monde and which addressed some important events of the history of the Japanese society since the destruction of Hiroshima by the first atomic bomb until the Fukushima accident. The addressed facts and events are: the destruction of Hiroshima, the surrender of Japan, the end of the peculiar status of the emperor, the strong growth period from the 1950's to the 1980's (the revival of Japanese trusts, industrial pollution in Minamata, the activists of Zengakuren, the Osaka exhibition, Mishima's suicide, nuclear and data processing are defined as national priorities), the lost decades 1990-2010 (a new emperor, the Kobe earthquake, the increasing gap between the society and the political class, life and death in Toyota, demographic decline, etc.). The last articles address the Fukushima accident, and propose some photos and an interview with the Japanese Prime Minister

Cytogenetics of the in-utero exposed of Hiroshima and Nagasaki. Supplemental report

Energy Technology Data Exchange (ETDEWEB)

Neriishi, S; Shimba, H [Radiation Effects Research Foundation, Nagasaki (Japan)

1978-04-01

The presence of chimaerism in peripheral lymphocyte chromosome 21 years after A-bomb radiation was examined using 16 males who had been exposed in-utero to radiation from A-bomb in Hiroshima and Nagasaki. (10 cases in Hiroshima and 6 cases in Nagasaki). At the same time, doses of in-utero radiation were estimated. It was found that no cells possess XX chromosome by observing 1,600 chromosome metaphases in 16 cases (100 per a person). Estimated dose of in-utero radiation was 44 - 151 rad, or 75.6 rad on the average for 10 cases in Hiroshima and 61 - 197 rad, or 104 rad on the average for 6 cases in Nagasaki. Estimated radiation dose of their mothers used as a basis for estimating in-utero radiation dose was 120 - 149 rad or 207.9 rad on the average for cases in Hiroshima and 148 - 477 rad or 251 rad on the average for cases in Nagasaki. A ratio of total dose given to mother to that given to fetus was 2.75 in cases of Hiroshima and 2.41 in those of Nagasaki.

Serum immunoglobulin levels in the ABCC-JNIH adult health study: Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

King, R A; Milton, R C; Hamilton, H B

1973-05-31

Immunoglobulin levels (IgG, IgA, and IgM) were determined on 2043 individuals in the ABCC-JNIH Adult Health Study population, and levels were compared to disease states and the dose of radiation ATB. Mean levels for both cities and sexes combined were IgG = 1577 mg%, IgA = 312 mg%, and IgM = 127 mg%. Differences between these mean levels and those reported in other studies are thought secondary to racial and environmental factors, and technical differences with the methods used for quantitation. Females had higher IgM levels that tended to go down with advancing age. Of the diseases evaluated, rheumatoid arthritis, cirrhosis, and pulmonary tuberculosis affected immunoglobulin levels the greatest. There was no apparent relationship between radiation dose from the atomic bomb and immunoglobulin levels determined more than 25 years after exposure. (6 tables)

Incidence of stroke and coronary heart disease in the adult health study sample, 1958 - 78

International Nuclear Information System (INIS)

Kodama, Kazunori; Shimizu, Yukiko; Sawada, Hisao; Kato, Hiroo.

1986-04-01

Approximately 16,000 study subjects in the Adult Health Study sample who had received examination at least once during the 20 years (1958 - 78) in Hiroshima or Nagasaki and were found to have neither stroke nor coronary heart disease (CHD) at the initial examination were studied for the incidence of stroke and CHD and the relationship of these to atomic bomb radiation exposure. Their secular trends were also studied. Findings suggestive of a relationship between stroke and radiation exposure among Hiroshima females were first discovered for the years 1969 - 73, that is, 24 - 28 years after A-bomb exposure. In general, this association is supported by the present analysis. Stroke incidence continued to decrease during the present report's period of observation. Analysis by type showed that cerebral infarction and cerebral hemorrhage both decreased, but the decrease of the latter is especially remarkable. The trend to decrease is observed in both sexes and in both cities. A relationship between CHD and radiation exposure was, as noted for stroke, first observed only in Hiroshima females for the years 1969 - 73, but from this analysis it appears that the trend began earlier and the association is getting stronger with the passage of time. Analysis by type showed myocardial infarction (MI), but not angina pectoris, to be related to radiation exposure. The incidence rate for CHD, especially for MI, was almost constant during the observation period, it being 1.2/1,000 person-years on the average. Comparing by sex, the incidence rate was constant in males. In females, the pattern varied with time. There appear to be no between-city differences in secular trends - essentially constant. (author)

Dental radiography exposure of the Hiroshima and Nagasaki populations

International Nuclear Information System (INIS)

Antoku, Shigetoshi; Hoshi, Masaharu; Russell, W.J.

1987-04-01

Dental radiography doses in Hiroshima and Nagasaki were estimated using doses measured by a thermoluminescent dosimeter and a phantom, and survey data from dental hospitals and clinics in Hiroshima and Nagasaki. Doses to organs, including the lens, pituitary fossa, thyroid gland, and skin were calculated. Average doses per examination to these body sites were calculated using data obtained during a two-week survey in both cities. The mean caput doses were calculated from the data indicating frequency per year, and were tabulated by organ, age, teeth examined, type of examination, population, sex, and city. No significant difference was observed by age, population, sex, or city. Currently, the doses incurred during dental radiography may not be sufficiently high to cause bias in the assessments for late radiation effects among atomic bomb survivors. However, the mean caput thyroid doses of 62 mrad and 67 mrad in Hiroshima and Nagasaki, respectively, cannot be ignored from the standpoint of their potential in contributing to radiation-induced carcinogenesis. (author)

Status of Los Alamos efforts related to Hiroshima and Nagasaki dose estimates

International Nuclear Information System (INIS)

Whalen, P.P.

1981-09-01

The Los Alamos efforts related to resolution of the Hiroshima, Nagasaki doses are described as follows: (1) Using recently located replicas of the Hiroshima bomb, measurements will be made which will define the upper limit of the Hiroshima yield. (2) Two-dimensional calculations of the neutron and gamma-ray outputs of the Hiroshima and Nagasaki weapons are in progress. Neutron and gamma-ray leakage spectra measurements will be made. Similar measurements on the Mark 9 weapon and on the Ichiban assembly are proposed. These measurements will provide a check for present day cross sections and calculations. (3) Calculations of several air transport experiments are in progress. A comparison of calculated results with experimental results is given. (4) The neutron and gamma-ray output spectra of several devices tested in the atmosphere at the Nevada Test Site are being calculated. The results of these calculations will allow models of the debris cloud contribution to the total dose to be tested

Radiation therapy among A-bomb survivors, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Russell, W J; Antoku, S

1971-01-01

The hospitals and clinics responsible for radiation therapy reported by ABCC-JNIH Adult Health Study subjects were surveyed to confirm treatment and estimate doses they received. Of 426 cases, 137 were documented by hospital records. Their ABCC medical records were also reviewed for pertinent clinical information. Excluding the cases not verified because of unavailability of records, confirmation rates were 0.46 in Hiroshima and 0.67 in Nagasaki. Radiation therapy doses according to date of treatment, diagnosis, body site, and source of exposure are included. These data are recorded routinely for future reference, along with doses from diagnostic roentgenology for evaluating overall ionizing radiation exposure of A-bomb survivors and their comparison subjects. Radiation therapy by source and by lesion treated is included. There were three cases with malignancies possibly related to their earlier radiation therapy. One was an A-bomb survivor with lung cancer previously reported as due to ionizing radiation from the A-bomb. Radiation therapy she received for breast cancer 11 years earlier was more likely the cause of the lung lesion than was her relatively small A-bomb dose. The importance of recording all diagnostic and therapeutic radiation, especially that received by those under continuing surveillance for late A-bomb effects, is stressed. (auth)

ABCC-JNIH pathology studies, Hiroshima and Nagasaki. Report III. The autopsy program and the life span study, January 1951--December 1970

Energy Technology Data Exchange (ETDEWEB)

Steer, A; Moriyama, I M; Shimizu, K

1973-01-01

Of the 19,701 deaths in the Life Span cohort between 1951--70, 22% came to autopsy. The autopsy procurement rate reached 45% in 1963 and declined thereafter. Problems and bias are discussed; autopsy rates were directly associated with radiation dose, especially in Hiroshima. Favorable autopsy procurement rates did not result from the rapport with survivors in the Adult Health Study. A study was made of stroke, ischemic heart disease, and cancer. The occurrence of cancer by site and cell type agrees with other data from Japan except for those cancers associated with prior ionizing radiation. Estimated radiation exposure data reveals no significant association for any disease other than some forms of cancer. (45 tables) (DLC)

An Attempt to Measure the Gamma Radiation Dosage at Hiroshima from Photosensitive Material

Energy Technology Data Exchange (ETDEWEB)

Brixner, Berlyn [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); McmIllan, Edwin [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Meade, Roger Allen [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2016-09-23

After Japan surrendered in August 1945, a team of Los Alamos scientists entered both Hiroshima and Nagasaki to assess the damage of Little Boy and Fat Man. Two of these scientists, Berlyn Brixner and Edwin McMillan, discovered a stock of photographic film in Hiroshima that had been fogged by the gamma radiation from Little Boy. They devised an experiment that they thought might be used to determine the exposure levels in the city. Below is both their description of the film stock and the attempt to determine the exposure levels at Hiroshima.

Radon concentrations in residential housing in Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Yonehara, Hidenori; Aoyama, Takashi; Radford, E.P.; Kato, Hiroo; Sakanoue, Masanobu.

1992-01-01

A measurement of indoor radon ( 222 Rn) concentrations in Hiroshima and Nagasaki was carried out to examine an effect of the exposure on atomic bomb (A-bomb) survivors. Two hundred dwellings (100 from each city), chiefly of members of the Life Span Study population which is a fixed cohort studied by Radiation Effects Research Foundation (RERF), were selected for this survey. We used two types of alpha-track detector: a Terradex detector type SF and a bare-track detector improved by Yonehara et al. Comparative measurements showed that although there was an adequate correlation between the values obtained using the two detectors, the geometric mean value for the bare-track detector was 45% of that for the Terradex detector. This difference was considered to be due to differences in the calibration methods and sensitivities of the detectors to thoron ( 220 Rn). The arithmetic mean values of the radon concentrations for 193 locations in Hiroshima and 192 locations in Nagasaki measured by Terradex SF detector were 103 Bq m -3 and 40.6 Bq m -3 , respectively. The values at 100 locations in Hiroshima and at 93 locations in Nagasaki measured by the bare detector were 43.1. Bq m -3 and 13.6 Bq m -3 , respectively. The significant difference between the geometric mean values of the concentration in Hiroshima and Nagasaki measured by both methods was observed. The difference might be attributable to the different geological environments of the two cities. The difference between the estimated dose equivalents for exposure to radon daughters in dwellings in Hiroshima and Nagasaki over the last 30 years might amount to 0.4 or 0.8 Sv; however, no statistically significant difference was observed in lung cancer mortality in the low-dose range in either city. Nevertheless, the indoor-radon concentrations estimated in this survey could significantly influence the dose-response relationships for A-bomb exposure. (author)

From Hiroshima to Harrisburg. The unholy alliance

Energy Technology Data Exchange (ETDEWEB)

Garrison, J

1980-01-01

The subject is covered in chapters, as follows: (Part I): Hiroshima and the advent of the atomic bomb: the Manhattan Engineer District Project; the milieu of war; scientific opposition to the use of the atomic bomb; Trinity; Hiroshima; Nagasaki and surrender; Hibakusha; from trust to terror; the nuclear arms spiral; fallout; the rationale for nuclear weapons; nuclear proliferation; thinking the unthinkable; the age of overkill; (Part II):the road to Harrisburg: radiation; meltdown effects and probabilities; nuclear accidents; Harrisburg; the effects of low-level ionizing radiation; the nuclear fuel cycle (mining; milling; uranium conversion; uranium enrichment; fuel fabrication; nuclear reactors; reprocessing; transportation; waste management; summary); (Part III): Karen Silkwood - a life in death: (Part IV): our challenge - overcoming psychic numbing: (Part V): an alternative vision: the soft energy path; the way of nonviolence.

Cancer risks and neutron RBE's from Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Dobson, R.L.; Straume, T.

1982-01-01

The new radiation dose estimates for Hiroshima and Nagasaki are radiobiologically examined for compatability with other human and experimental data. The new doses show certain improvements over the original T65 doses. However, they suggest for chronic granulocytic leukemia, total malignancies, and chromosome aberrations, at neutron doses of 1 rad, RBEs in excess of 100, higher than expected from other findings. This and other indications suggest that either there are unrecognized systematic problems with the various radiobiological data, or the new doses are deficient in neutrons for Hiroshima, by a factor of about five. If in fact there were actually some 5-fold more dose from neutrons at Hiroshima than estimated by the new calculations, the RBEs would agree well with laboratory results, and other inconsistencies would largely disappear. Cancer risks are estimated for neutrons from the new doses and are compared with those estimated from radiobiologically reconciled doses (the new doses adjusted by adding approximately 5-fold more neutrons). The latter appear more reasonable. For low-LET radiation, cancer risk estimates are changed very little by the new dose estimates for Nagasaki

The new radiation dosimetry for the A-bombs in Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Kerr, G.D.

1988-01-01

Extensive work has been conducted over the past few years to reassess all aspects of the radiation dosimetry for the A-bombs in Hiroshima and Nagasaki. This work has included reviews of the bomb yields, source terms, air transport of neutrons and gamma rays, neutron-induced radioactivity and thermoluminescence in exposed materials, shielding of individuals by buildings, and calculations of organ doses. The results of these theoretical and experimental activities have led to the development of a new dosimetry system which is designated as the Dosimetry System 1986 (DS86). New DS86 estimates of tissue kerma in air and absorbed dose to fifteen organs are available for 94,787 survivors who were either outside and unshielded, outside and shielded by houses, or inside and shielded by houses (64,408 in Hiroshima and 30,379 in Nagasaki). The organ doses are calculated on an age-dependent basis as follows: infants (less than 3 years old at the time of bombing, ATB), children (3 to 12 years old ATB), and adults (more than 12 years old ATB). Work in progress includes the extension of the DS86 system to Nagasaki survivors who were shielded either by terrain or by factory buildings

Hematological findings for children exposed in utero - Hiroshima

Energy Technology Data Exchange (ETDEWEB)

Takamura, Tsugiso; Ueda, Shoichi

1960-01-01

For children irradiated in utero and nonirradiated children of Hiroshima hematologic findings between the years 1950 to 1957 have been compared, and no changes peculiar to the irradiated group were found. Despite several predisposing factors toward the development of iron deficiency in Japanese children, overt anemia was rare and distribution of hemoglobin levels was only slightly lower than reported for American and European children. Leukocyte levels, irrespective of age of the children, were found to be progressively falling in Hiroshima children so that by 1957 the values were distinctly lower than those reported for normal children in Japan and the United States. No cause for this change was apparent. 19 references, 7 figures, 3 tables.

Hematological findings for children exposed in utero, Hiroshima

Energy Technology Data Exchange (ETDEWEB)

Takamura, Tsugiso; Ueda, Shoichi

1959-01-01

For children irradiated in utero and nonirradiated children of Hiroshima hematologic findings between the years 1950 to 57 have been compared, and no changes peculiar to the irradiated group were found. Despite several predisposing factors toward the development of iron deficiency in Japanese children, overt anemia was rare and distribution of hemoglobin levels was only slightly lower than reported for American and European children. Leukocyte levels, irrespective of age of the children, were found to be progressively falling in Hiroshima children so that by 1957 the values were distinctly lower than those reported for normal children in Japan and the United States. No cause for this change was apparent. 19 references, 7 figures, 3 tables.

Rethinking the Concept of Sustainability: Hiroshima as a Subject of Peace Education

Science.gov (United States)

Ide, Kanako

2017-01-01

The article discusses a sustainable educational approach for developing a moral value of peace by using a historical event, the bombing of Hiroshima. To make the case, the article uses the care theory of Nel Noddings to discuss the interpersonal aspects of peace education. The article asks how care theory handles tragedies like Hiroshima and it…

Cancer risks and neutron RBE's from Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Dobson, R.L.; Straume, T.

1982-01-01

The new radiation dose estimates for Hiroshima and Nagasaki are here combined with epidemiologic data from the A-bomb survivors and examined radiobiologically for compatability with other human and experimental data. The new doses show certain improvements over the original T65 doses. However, they suggest for chronic granulocytic leukemia, total malignancies, and chromosome aberrations, at neutron doses of 1 rad, RBEs in excess of 100, higher than expected from other findings. This and other indications suggest that either there are unrecognized systematic problems with the various radiobiological data, or the new doses are deficient in neutrons for Hiroshima, by a factor of about five. If in fact there were actually some 5-fold more dose from neutrons at Hiroshima than estimated by the new calculations, the RBEs would agree well with laboratory results, and other inconsistencies would largely disappear. Cancer risks are estimated for neutrons from the new doses and are compared with those estimated from radiobiologically reconciled doses (the new doses adjusted by adding approximately 5-fold more neutrons). The latter estimates appear more reasonable. For low-LET radiation, cancer risk estimates are altered very little by the new dose estimates for Nagasaki

Blood bactericidal activity in Hiroshima subjects

Energy Technology Data Exchange (ETDEWEB)

Hollingsworth, J W; Hamilton, H B

1961-03-07

A simple screening method for blood bactericidal activity was developed for study of irradiated atomic bomb survivors and nonirradiated subjects in Hiroshima. Blood bactericidal activity was found to be a relatively constant biological phenomenon in all subjects studied. No differences in activity were detected in relationship to radiation exposure in 1945. 17 references, 6 tables.

Activation Measurements for Thermal Neutrons, U.S. Measurements of 36Cl in Mineral Samples from Hiroshima and Nagasaki; and Measurement of 63 Ni in Copper Samples From Hiroshima by Accelerator Mass Spectrometry

Energy Technology Data Exchange (ETDEWEB)

Tore Straume; Alfredo A. Marchetti; Stephen D. Egbert; James A. Roberts; Ping Men; Shoichiro Fujita; Kiyoshi Shizuma; Masaharu Hoshi; G. Rugel; W. Ruhm; G. Korschinek; J. E. McAninch; K. L. Carroll; T. Faestermann; K. Knie; R. E. Martinelli; A. Wallner; C. Wallner

2005-01-14

The present paper presents the {sup 36}Cl measurement effort in the US. A large number of {sup 36}Cl measurements have been made in both granite and concrete samples obtained from various locations and distances in Hiroshima and Nagasaki. These measurements employed accelerator mass spectrometry (AMS) to quantify the number of atoms of {sup 36}Cl per atom of total Cl in the sample. Results from these measurements are presented here and discussed in the context of the DS02 dosimetry reevaluation effort for Hiroshima and Nagasaki atomic-bomb survivors. The production of {sup 36}Cl by bomb neutrons in mineral samples from Hiroshima and Nagasaki was primarily via the reaction {sup 35}Cl(n,{gamma}){sup 36}Cl. This reaction has a substantial thermal neutron cross-section (43.6 b at 0.025 eV) and the product has a long half-life (301,000 y). hence, it is well suited for neutron-activation detection in Hiroshima and Nagasaki using AMS more than 50 years after the bombings. A less important reaction for bomb neutrons, {sup 39}K(n,{alpha}){sup 36}Cl, typically produces less than 10% of the {sup 36}Cl in mineral samples such as granite and concrete, which contain {approx} 2% potassium. In 1988, only a year after the publication of the DS86 final report (Roesch 1987), it was demonstrated experimentally that {sup 36}Cl measured using AMS should be able to detect the thermal neutron fluences at the large distances most relevant to the A-bomb survivor dosimetry. Subsequent measurements in mineral samples from both Hiroshima and Nagasaki validated the experimental findings. The potential utility of {sup 36}Cl as a thermal neutron detector in Hiroshima was first presented by Haberstock et al. who employed the Munich AMS facility to measure {sup 36}Cl/Cl ratios in a gravestone from near the hypocenter. That work subsequently resulted in an expanded {sup 36}Cl effort in Germany that paralleled the US work. More recently, there have also been {sup 36}Cl measurements made by a Japanese

Comparison of medical data of atomic-bomb survivors resident in the U.S. and Hiroshima

International Nuclear Information System (INIS)

Ito, Chikako; Matsubara, Hiroomi; Yamakido, Michio; Yamada, Hiroaki.

1982-01-01

The third medical examination of A-bomb survivors residing in the U.S. was performed in San Francisco, Los Angeles, Seattle and Honolulu during the period 6 - 28 May 1981. The test results were studied and the actual state of the survivors in the U.S., was reviewed as explained hereunder. 1) The number of survivors actually registered with the Committee of A-bomb Survivors in the U.S. is 491 (133 males and 358 females) of whom 57.2% are U.S. citizens. Those exposed in Hiroshima accounted for 91.8%. The mean age was 53.3 +- 8.9, thus they were more than 3 years younger than their counterparts in Hiroshima. The present addresses of the survivors are distributed over 15 states, but those in California constitute 77.6% of the total, and when those residing in the states along the west coast and Hawaii are added the rate increases to 95.9%. 2) Those who underwent health examination numbered 166 (45 males and 121 females), and comparison of the U.S. survivors against the Hiroshima survivors showed there to be a difference in the following points. The prevalence of hypertension was lower among the U.S. survivors, but RBC counts and hemoglobin concentration were significantly higher. The same was observed for blood lipids with hypercholesterolemia and hypertriglyceridemia being found at a significantly higher rate in the U.S. survivors. 3) Those free of clinical abnormalities in this survey were 37.3%, and the rest required dietary guidance, follow-up observation, detailed examination of treatment. Those with diseases which are considered would make them eligible for health management allowance if in Japan, accounted for 18.7%. (author)

Incidence of leukemia in survivors of the atomic bomb in Hiroshima and Nagasaki, Japan

Energy Technology Data Exchange (ETDEWEB)

Folley, J H; Borges, W; Yamawaki, Takuso

1959-01-01

This document contains two reports. The aim of the first investigation was to obtain information concerning all individuals in Hiroshima and Nagasaki having onset of symptoms of leukemia or dying of the disease since the atomic explosion in 1945. Results show that: (1) There is a significant increase in the incidence of leukemia in the exposed populations of Hiroshima and Nagasaki as compared with the non-exposed populations of the two cities; (2) there is a significant increase in the incidence of leukemia within the exposed population of Hiroshima and Nagasaki in subjects exposed at distances less than 2000 meters from the hypocenter; and (3) The concept that radiation from the atomic bomb explosions in Hiroshima and Nagasaki is a leukemogenic agent in man is supported. In the second report, 10 patients were used to study the early hematologic and preclinical phases of leukemia in atomic bomb survivors. Findings are presented. 23 references, 13 figures, 15 tables.

Radon concentrations in residential housing in hiroshima and nagasaki

International Nuclear Information System (INIS)

Aoyama, Takashi; Radford, E.P.; Yonehara, Hidenori; Kato, Hiroo; Sakanoue, Masanobu.

1993-05-01

A survey of indoor radon ( 222 Rn) concentrations in Hiroshima and Nagasaki was carried out to assess the range of exposures expected among atomic-bomb survivors. Two hundred dwellings (100 from each city), chiefly of members of the Radiation Effects Research Foundation Life Span Study, were selected for this survey. We used two types of etched-track alpha-particle detectors: a Terradex detector (type SF) and an improved bare-track detector. Comparative measurements showed that although there was an adequate correlation between the values obtained using the two detectors, the geometric mean value for the bare-track detector was 45% lower than that for the Terradex detector. This difference was considered to be due to differences in the calibration methods and in the sensitivities of the detectors to thoron ( 220 Rn). The geometric mean values of the radon concentrations for 193 locations in Hiroshima and 192 locations in Nagasaki measured by Terradex SF detectors were 51.8 Bq/m 3 and 26.5 Bq/m 3 , respectively. The large difference is attributable to the different geological environments of the two cities. Factors correlating with the indoor radon concentrations were also studied. The geometric mean concentration was significantly higher in wooden houses with clay walls than in other types of house. This tendency was especially strong in Hiroshima. The difference between the estimated dose equivalents for exposure to radon decay products in dwellings in Hiroshima and Nagasaki during the last 30 years might amount to 0.8 Sv; however, no statistically significant difference was observed in lung-cancer mortality in the low-dose range in either city. Nevertheless, the indoor radon concentrations estimated in this survey could have a significant influence on the dose-response relationship for atomic-bomb exposure. (author)

The shadow of Hiroshima

International Nuclear Information System (INIS)

Bagley, Sharon.

1990-01-01

In light of the findings from a test carried out on 72216 children born from parents who felt the bomb radiation at Hiroshima and Nagasaki, it appears that humans are less sensitive to genetic effects of radiation that previously thought. The new assessment of radiation's effect has not found an increase in birth defects, in chromosomal abnormalities in white blood cells or in cancer in the victim's children. However, it is assumed that as they enter their 50s, they may suffer the long-delayed consequences of the bomb. ills

Clinical survey to detect diabetes mellitus, Hiroshima

Energy Technology Data Exchange (ETDEWEB)

Rudnick, P A; Anderson, Jr, P S

1961-07-19

Data from this study are in agreement with the general observations that diabetes is not uncommon in Japan. In an adult study population in Hiroshima 108 patients with diabetes were detected, yielding the prevalence rate of 3.02 percent. Nearly one-half of the patients were diagnosed initially as a result of the routine detection program. Although in females a trend with exposure is suggested by the raw data no statistically significant differences could be demonstrated. However, the size of the sample involved does not permit confident negative conclusions. Additional clinical and laboratory observations were completed in order to characterize the manifestation of diabetes in these subjects. Late manifestations of diabetes frequently were found, but atherosclerotic complications were nonexistent. This is considered to be related to the low fat, high carbohydrate diet of the Japanese. The lack of ketosis, apparently low prevalence rate for juveniles, and male preponderance suggest that diabetes in Japan differs from the disease found in many Western countries. 69 references, 1 figure, 9 tables.

From History to Memory: Alain Resnais’ and Marguerite Duras’ Hiroshima mon amour

Directory of Open Access Journals (Sweden)

Sarah French

2008-12-01

Full Text Available This paper examines the representation of history and memory in Alain Resnais’ and Marguerite Duras’ 1959 film Hiroshima mon amour. It argues that the film’s privileging of subjective remembrance reflects a broader cultural interest in using memory as a counter discourse to established history. The widely documented cultural preoccupation with memory became particularly prominent in the early 1980s. However, Hiroshima mon amour can be read as an important early example of a film that predates the contemporary ‘memory boom’. For Resnais and Duras, the magnitude of the devastation in Hiroshima exceeds the limits of filmic representation. Their solution to the problem that the historic event is unrepresentable is to approach the event indirectly while focusing on an individual traumatic memory. Through a close analysis and critique of the film I argue that the film’s emphasis on individual memory validates the legitimacy of the personal narrative but problematically subsumes the political events and displaces history from the discursive realm. I also suggest that problems emerge in the film’s depiction of its traumatised female subject. While Hiroshima mon amour represents a complex female subjectivity and interiority, the process of remembrance depicted deprives the woman of agency and renders her trapped within a compulsive repetition of the past.

36Cl measurements of Hiroshima concrete samples

International Nuclear Information System (INIS)

Matsuhiro, T.; Nagashima, Y.; Seki, R.; Takahashi, T.

2002-01-01

The 36 Cl AMS studies are reported. A new steps of procedure of a sample preparation is developed and a tremendous reduction of sulphur background has been achieved. The 36 Cl contents of two atomic bombed concrete samples, old Hiroshima Bank one and Gokoku Shrine one, have been measured as a function of 36 Cl to Cl ratio by the Tsukuba AMS system. The 36 Cl to Cl ratio of the old Hiroshima Bank sample shows very nice agreement with the result of γ measurement of 152 Eu. Otherwise, the ratio is about 20% smaller than an estimation by the DS86 dosimetry system. A result of the Gokoku Shrine sample is also smaller than a depth profile estimation by the same DS86. It might be clear that the DS86 has a tendency of overestimation. It seems that a calculation method and/or the parameters used in the calculation are requested to be improved. (author)

Doses from Hiroshima mass radiologic gastric surveys

Energy Technology Data Exchange (ETDEWEB)

Antoku, S; Sawada, S; Russell, W J [Radiation Effects Research Foundation, Hiroshima (Japan)

1980-05-01

Doses to examinees from mass radiologic surveys of the stomach in Hiroshima Perfecture were estimated by surveying for the frequency of the examinations, and for the technical factors used in them, and by phantom dosimetry. The average surface, active bone marrow and male and female gonad doses per examination were 5.73 rad, 231 mrad, and 20.6 and 140 mrad, respectively. These data will be used in estimating doses from medical X-rays among atomic bomb survivors. By applying them to the Hiroshima population, the genetically significant, per caput mean marrow, and leukemia significant doses were 0.14,8.6 and 7.4 mrad, respectively. There was a benefit-to risk ratio of about 50 for mass gastric surveys performed in 1976. However, the calculated risk was greater than the benefit for examinees under 29 years of age because of the lower incidence of gastric cancer in those under 29 years.

Current status of Hiroshima Synchrotron Radiation Center

International Nuclear Information System (INIS)

Taniguchi, Masaki

2000-01-01

The Hiroshima Synchrotron Radiation Center is a common facility for both research and education in the field of synchrotron radiation science. The role of the center is to promote original research, training of young scientists, international exchange and cooperative research with neighbouring universities, public organizations and industries. (author)

Distribution of moon jellyfish Aurelia aurita in relation to summer hypoxia in Hiroshima Bay, Seto Inland Sea

Science.gov (United States)

Shoji, Jun; Kudoh, Takaya; Takatsuji, Hideyuki; Kawaguchi, Osamu; Kasai, Akihide

2010-02-01

Biological and physical surveys were conducted in order to investigate the relationship between environmental conditions and the distribution of moon jellyfish Aurelia aurita in Hiroshima Bay, western Seto Inland Sea, Japan. Moon jellyfish and ichthyoplankton were collected at 13 stations in Hiroshima Bay during monthly surveys from July to September in 2006 and 2007. Surface temperature in 2006 was significantly lower during the August and September cruises and surface salinity was lower during all cruises than in 2007. Moon jellyfish was the most dominant gelatinous plankton collected, accounting for 89.7% in wet weight. Mean moon jellyfish abundance in 2006 was higher than that in 2007 from July through September, with significant inter-year differences for July and September. Variability in precipitation and nutritional input from the Ohta River, northernmost part of Hiroshima Bay, were suggested as possible factors affecting the inter-annual variability in moon jellyfish abundance in the coastal areas of northern Hiroshima Bay. Moon jellyfish were more abundant in the coastal areas of northern Hiroshima Bay, where the dissolved oxygen (DO) concentration was lower, while low in the central part of the bay. Japanese anchovy Engraulis japonicus eggs were most dominant (58.1% in number) among the ichthyoplankton and were abundant in the central area of Hiroshima Bay. Explanatory analysis was conducted to detect possible effects of environmental conditions on the abundance of moon jellyfish and Japanese anchovy eggs during the summer months in Hiroshima Bay. Of the environmental conditions tested (temperature, salinity and DO of surface and bottom layers at each sampling station), bottom DO had the most significant effect on the moon jellyfish abundance: there was a negative correlation between the bottom DO and the moon jellyfish abundance in Hiroshima Bay during summer.

Fifty years after Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Nishiwaki, Y.

1996-01-01

The initial radiation was composed primarily of gamma rays and neutrons. Several estimates have in the past been advanced for the initial dose of radiation. The tentative T65D dose estimates (established in 1965) were revised in July 1987 by the US-Japan Committee for Reassessment of Atomic Bomb Radiation Dosimetry in Hiroshima and Nagasaki, and the new DS86 dosimetry system was adopted. However, there may still be various uncertainties involved. The uncertainties under emergency conditions, in particular, the uncertainties in estimating dose-effect, relationships in Hiroshima and Nagasaki have been repeatedly discussed by professor Nishiwaki since the first meeting on the medical and pathological effects of atomic bombings held at the Department of Pathology of the late Professor Ryojun Kinoshita, the then Professor of pathology, Faculty of Medicine of Osaka University in 1945. The survivors and those who visited Hiroshima immediately after the atomic bombing could have been subjected in a number of other possible noxious effects in addition to atomic radiation. Hospitals, laboratories, drugstores, chemists, pharmaceutical works, storehouses of chemicals, factories, etc. that were situated close to the hypocenter were all completely destroyed and various mutagenic, carcinogenic or teratogenic substances must have been released. There was no medical care and no food in the region of high dose exposure and the drinking water was contaminated. There would have been various possibilities of infection. Mental stress would also have been much higher in the survivors closer to the hypocenter. It is confusing which factor played a dominant role. In addition, there would be problems in accurately recording the position of the exposed persons at the time of the atomic bombing and also in estimating the shielding factors. There may be considerable uncertainty in human memory under such conditions. It is also possible that there could have been a large storage of gasoline to

Some demographic characteristics of Hiroshima City, 1958, related to exposure to the Atomic Bomb (Based on the 1958 Interim Urban Population Survey of Hiroshima Prefecture). Preliminary report

Energy Technology Data Exchange (ETDEWEB)

Ishikuni, Naoji; Kato, Hiroo; Matsumoto, Y Scott

1960-08-17

Based upon the data obtained by the Interim Urban Population Survey conducted on October 1, 1958, in the cities of Hiroshima Prefecture, a comparison has been made between the demographic characteristics of the Hiroshima City atomic bomb survivors and those of the nonexposed. Analysis of the data revealed: (1) the estimated number of persons exposed to the Hiroshima atomic bomb and still residing in Hiroshima City on October 1, 1958 was 92,180; (2) the annual mean rates of in-migration and out-migration of the exposed population during the eight year period from 1950 to 1958 were both approximately 2%, while those for the nonexposed were 8% and 4% respectively; (3) the rate of unmarried exposed females tended to be higher than the rate of unmarried women not exposed, while no difference was noted for single males by exposure status; (4) proportionately greater numbers of exposed persons were engaged in primary and secondary industries (agriculture and manufacturing), while a proportionately greater number of nonexposed were engaged in tertiary industry (commerce, government service, and service work); (5) of those in the labor force the ratio of unemployed in the exposed population seemed slightly higher, but due to the small number surveyed, statistical confirmation was not possible. Of those not in the labor force, no difference was noted according to exposure status; (6) in the sickness prevalence rate no difference could be observed between the exposed and nonexposed.

Cytogenetic study of the offspring of atomic bomb survivors, Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Awa, A.A.; Honda, Takeo; Neriishi, Shotaro

1989-07-01

This paper describes the results of a cytogenetic study on 8,322 children born to atomic bomb survivors (4,716 in Hiroshima and 3,606 in Nagasaki) and 7,976 controls (5,112 in Hiroshima and 2,864 in Nagasaki). Because no child was examined before age 12, the data may not be considered valid for the occurrence of chromosomal abnormalities that impose a high risk of early death. Thus, we will restrict our comparison to the sex-chromosome aneuploids and autosomal structural rearrangements of the balanced type, although other abnormalities encountered in this survey will be enumerated. Among the children born to exposed parents, 19 individuals (0.23 %) exhibited sex chromosome abnormalities and 23 (0.28 %) exhibited autosomal structural rearrangements, whereas among children born to unexposed parents, 24 (0.30 %) and 27 (0.34 %), respectively, were observed to exhibit these abnormalities. Only one child with a karyotype of 47,XY,+21 was found in the Hiroshima exposed group. Thus, there was no statistically significant difference in the overall frequencies of cytogenetically abnormal cases between the exposed (0.52 %) and control (0.64 %) populations. In Hiroshima, frequencies of chromosome abnormalities were similar between exposed and control groups (0.64 % vs 0.65 %). However, the value observed in the exposed group in Nagasaki was slightly lower (0.36 %) - though not statistically significant - than the value observed in the control group (0.63 %). This value of the Nagasaki control group was similar to that in Hiroshima. Family studies on probands with chromosome abnormalities revealed that the majority of cases (about 90 %) with autosomal structural rearrangements of the balanced type were inherited from one or the other parent. The mutation rates for these reaarangements were similar between the exposed and control groups, being 0.98 x 10 -4 per gamete per generation. (author)

Decline of blood leukocyte counts 1947-59, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Ichimaru, Michito; Ueda, Shoichi; Blaisdell, R K

1963-03-03

Earlier reports of progressive decline in leukocyte counts in Hiroshima from about 1948 to 1954 have been confirmed. A similar phenomenon has been observed in Nagasaki. Analysis indicates that this decline in white cell count with time is not related to exposure to the 1945 atomic bombs, to sex, to age, to commonly diagnosed diseases, or to the disproportionate influence of a subgroup. The principal white cells affected were neutrophils, lymphocytes and eosinophils. The precise etiologic factors accounting for the decline, and the biological significance of the present lower range of leukocyte values in Hiroshima and Nagasaki remain to be determined. 16 references, 5 figures, 5 tables.

Serum immunoglobulin levels in atomic bomb survivors, Hiroshima

Energy Technology Data Exchange (ETDEWEB)

Hall, C B; Hall, W J; Ashley, F W; Hamilton, H B

1972-01-01

Serum immunoglobulins (SI) were determined in 803 survivors and matched controls. Each subject's age, sex, health, exposure, and medical record were evaluated with respect to serum IgG, IgA, IgM levels. The IgG and IgA levels tended to be higher for this Hiroshima population than for Americans. Past exposure to ionizing radiation showed no significant correlation to SI levels. However, age and sex did influence the SI. IgM was significantly higher in females. With advancing age IgG and IgA increased in males, and IgM decreased in females. Elevated sedimentation rate and increased lymphocytes were accompanied by increased SI levels. Radiographic TB was detected in 45% of the population; IgG and IgA levels were somewhat elevated in these individuals. (DLC)

Sulfur activation at the Little Boy-Comet Critical Assembly: a replica of the Hiroshima bomb

International Nuclear Information System (INIS)

Kerr, G.D.; Emery, J.F.; Pace, J.V. III.

1985-04-01

Studies have been completed on the activation of sulfur by fast neutrons from the Little Boy-Comet Critical Assembly which replicates the general features of the Hiroshima bomb. The complex effects of the bomb's design and construction on leakage of sulfur-activation neutrons were investigated both experimentally and theoretically. Our sulfur activation studies were performed as part of a larger program to provide benchmark data for testing of methods used in recent source-term calculations for the Hiroshima bomb. Source neutrons capable of activating sulfur play an important role in determining neutron doses in Hiroshima at a kilometer or more from the point of explosion. 37 refs., 5 figs., 6 tabs

Urinary findings of children exposed in utero to the atomic bombs, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Freedman, L R; Keehn, R J

1966-06-09

Data from urinalyses at ages 9 to 16 were tabulated for children exposed to ionizing radiation in utero at the time of the atomic bombs in Hiroshima and Nagasaki in 1945 and for comparable control groups. Proteinuria was detected more often at various ages in boys in Hiroshima and girls in both cities whose mothers were within 1500 m of the bomb hypocenters. However, the differences were statistically significant only in girls ages 13 or 14. Casts were also seen more commonly in Hiroshima girls located at the same distance. Red and white blood cell excretion in the urine and glycosuria did not appear to be related to radiation exposure. Future investigations will be necessary to define the biological significance of these findings. 11 references, 8 tables.

Long-term Radiation-Related Health Effects in a Unique Human Population: Lessons Learned from the Atomic Bomb Survivors of Hiroshima and Nagasaki

Science.gov (United States)

Douple, Evan B.; Mabuchi, Kiyohiko; Cullings, Harry M.; Preston, Dale L.; Kodama, Kazunori; Shimizu, Yukiko; Fujiwara, Saeko; Shore, Roy E.

2014-01-01

For 63 years scientists in the Atomic Bomb Casualty Commission and its successor, the Radiation Effects Research Foundation, have been assessing the long-term health effects in the survivors of the atomic bombings of Hiroshima and Nagasaki and in their children. The identification and follow-up of a large population (approximately a total of 200 000, of whom more than 40% are alive today) that includes a broad range of ages and radiation exposure doses, and healthy representatives of both sexes; establishment of well-defined cohorts whose members have been studied longitudinally, including some with biennial health examinations and a high survivor participation rate; and careful reconstructions of individual radiation doses have resulted in reliable excess relative risk estimates for radiation-related health effects, including cancer and noncancer effects in humans, for the benefit of the survivors and for all humankind. This article reviews those risk estimates and summarizes what has been learned from this historic and unique study. PMID:21402804

Literature, cinema and history in "Hiroshima Mon Amour"

Directory of Open Access Journals (Sweden)

Nismária Alves David Barros

2013-06-01

Full Text Available This article analyzes Hiroshima Mon Amour, realization by Alain Resnais divulged in 1959 and ciné-roman by Marguerite Duras published in 1960. Considering the Jeanne-Marie Clerc's theory (2004, we understand that the literature and the cinema are resources of expression that do not establish competition or subordination relations, but they establish complementary relations, they make mutual exchanges for their renewals. They are not the documents on the atomic tragedy of Hiroshima because they congregate historical facts, literary narrative and cinematographic techniques. This ciné-roman and this film displays a revolutionary position of the artistic form to express a critical vision on the world after war. They create a love history and a history of loss, focusing the individual anguish in the plot. Through  the return to the past, using a poetical language, they discloses the pains of the protagonist and the pains of the humanity. Therefore the receiver reflects on himself.

Activation of cobalt by neutrons from the Hiroshima bomb

International Nuclear Information System (INIS)

Kerr, G.D.; Dyer, F.F.; Emery, J.F.; Pace, J.V. III; Brodzinski, R.L.; Marcum, J.

1990-02-01

A study has been completed of cobalt activation in samples from two new locations in Hiroshima. The samples consisted of a piece of steel from a bridge located at a distance of about 1300 m from the hypocenter and pieces of both steel and concrete from a building located at approximately 700 m. The concrete was analyzed to obtain information needed to calculate the cobalt activation in the two steel samples. Close agreement was found between calculated and measured values for cobalt activation of the steel sample from the building at 700 m. It was found, however, that the measured values for the bridge sample at 1300 m were approximately twice the calculated values. Thus, the new results confirm the existence of a systematic error in the transport calculations for neutrons from the Hiroshima bomb. 52 refs., 32 figs., 16 tabs

Message of Hiroshima. The memories and comments of a nuclear scientist

Energy Technology Data Exchange (ETDEWEB)

Shimizu, S. (Kyoto Univ. (Japan))

1982-01-01

A review of the research conducted during the Second World War by Japanese scientists and their in-situ experiences on the Hiroshima atomic bomb effects a week after the explosion is given. Details are presented on the activity data of samples from the site, on the results of half-life measurements and of chemical analyses. From these data the site of explosion and the neutron flux on the surface were computed. The damages caused by the Hiroshima and Nagasaki bombs were compared. Further, an account on the powder from the Bikini H-bomb explosion is given. Finally, the author protests against the military uses of nuclear energy.

Neutron and gamma ray calculation for Hiroshima-type atomic bomb

Energy Technology Data Exchange (ETDEWEB)

Hoshi, Masaharu; Endo, Satoru; Takada, Jun [Hiroshima Univ. (Japan). Research Inst. for Radiation Biology and Medicine; Iwatani, Kazuo; Oka, Takamitsu; Shizuma, Kiyoshi; Fujita, Shoichiro; Hasai, Hiromi

1998-03-01

We looked at the radiation dose of Hiroshima and Nagasaki atomic bomb again in 1986. We gave it the name of ``Dosimetry System 1986`` (DS86). We and other groups have measured the expose dose since 1986. Now, the difference between data of {sup 152}Eu and the calculation result on the basis of DS86 was found. To investigate the reason, we carried out the calculations of neutron transport and neutron absorption gamma ray for Hiroshima atomic bomb by MCNP3A and MCNP4A code. The problems caused by fast neutron {sup 32}P from sulfur in insulator of pole. To correct the difference, we investigated many models and found agreement of all data within 1 km. (S.Y.)

Exposure to Atomic Bomb Radiation and Age-Related Macular Degeneration in Later Life: The Hiroshima-Nagasaki Atomic Bomb Survivor Study.

Science.gov (United States)

Itakura, Katsumasa; Takahashi, Ikuno; Nakashima, Eiji; Yanagi, Masahide; Kawasaki, Ryo; Neriishi, Kazuo; Wang, Jie Jin; Wong, Tien Yin; Hida, Ayumi; Ohishi, Waka; Kiuchi, Yoshiaki

2015-08-01

To investigate the association between radiation exposure from the atomic bombings and the prevalence of age-related macular degeneration (AMD) among older residents of Hiroshima and Nagasaki. The Adult Health Study is a cohort study of atomic bomb survivors living in Hiroshima and Nagasaki, comprising 2153 participants who underwent examinations with retinal fundus photographs in 2006-2008. The radiation dose to the eye for the analysis was estimated with the revised dosimetry system (DS02). The retinal photographs were graded according to the Wisconsin Age-Related Maculopathy Grading System modified for nonstereoscopic retinal images. Early and late AMD were defined according to the type of lesion detected in the worse eye of the participants. Person-specific data were analyzed by using a logistic regression model to assess the association between radiation dose and AMD. Among the 1824 subjects with gradable retinal images (84.7% of the overall participants), the estimated eye dose was widely distributed, with a mean of 0.45 Gy and standard deviation of 0.74 Gy. The prevalence of early and late AMD was 10.5% and 0.3%, respectively. There were no significant associations between radiation dose and AMD, with each 1-Gy increase in exposure, adjusted odds ratio was 0.93 (95% confidence interval [CI], 0.75-1.15) for early AMD and 0.79 (95% CI, 0.21-2.94) for late AMD. No significant associations were found between atomic bomb irradiation early in life and the prevalence of early or late AMD later in life among Japanese atomic bomb survivors.

Neutrons confirmed in Nagasaki and at the Army pulsed radiation Facility: Implications for Hiroshima

International Nuclear Information System (INIS)

Straume, T.; Harris, L.J.; Marchett, A.A.; Egbert, S.D.

1994-01-01

Recent reports have clearly demonstrated that large discrepancies exist between neutron activation measured in Hiroshima and activation calculated using the current dosimetry system DS86. The reports confirmed previous results for cobalt activation in Hiroshoma that suggested problems, and this has spurred a joint U.S.-Japan effort to identify the source(s) of this discrepancy. Here, new results are presented that appear to eliminate both the measurements of neutron activation and the DS86 air-transport calculations are potential sources of the discrepancy in Hiroshima. Computer transport of DS86 fission neutrons through large distances of air was validated using concrete samples from Nagasaki and chloride detectors placed at selected distances from a bare uranium reactor. In both cases accelerator mass spectrometry was used to measure thermal neutron activation via the reaction. 35 Cl(n, γ) 36 Cl (half-life, 301,000 years). Good agreement was observed between measurements of neutron activation and DS86 calculations for Nagasaki, as well as for the reactor experiment. Thus the large discrepancy observed in Hiroshima appears not to be due to uncertainties in air-transport calculations or in the activation measurements; rather, the discrepancy appears to be due to uncertainties associated with the Hiroshima bomb itself. 15 refs., 3 figs., 8 tabs

Small head size following in utero exposure to atomic radiation, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Miller, R W; Blot, W J

1972-01-01

There was a progressive increase with dose in the frequency of abnormality among persons whose mothers were exposed before the 18th week of pregnancy. In Hiroshima the minimum dose producing an effect was 10 to 19 rad, but in Nagasaki no effect was observed under 150 rad. At maternal doses of > 150 rad, small head circumference was often accompanied by mental retardation. The low doses in Hiroshima are not directly applicable to medical radiology because of the presence of neutrons and environmental disturbances. (DLC)

Deterrence before Hiroshima

Energy Technology Data Exchange (ETDEWEB)

Quester, G.H.

1985-01-01

The gap between studies of military history and military strategy is ever widening. The enormous destructive power of nuclear weapons has tended to persuade us that the military experience of the first half of this century is not relevant to more ''modern'' military questions. In Deterrence before Hiroshima, first published in 1966, George H. Quester analyzes pre-nuclear age theories of deterrence to equip us with a perspective and data by which current theories can be evaluated. Quester shows that from almost the time of the first military aircraft, air-power was believed to have the capacity for apocalyptic destruction. He points out that the modern terms deterrence, limited war, tacit agreement, and balance of terror, show up often in the literature from 1900-1945, coupled with war scenarios every bit as awesome as a nuclear holocaust.

Hiroshima: A City with Peace as Its Purpose.

Science.gov (United States)

Nesbitt, Donna

1998-01-01

Employs a summary of the story "Sadako and the Thousand Paper Cranes" by Eleanor Coerr as an introduction to the city of Hiroshima's (Japan) quest for world peace, peace education, and strong opposition to nuclear warfare. Discusses various symbols of peace, such as paper cranes in Japanese culture, and offers five teaching activities.…

Bombing of Hiroshima and Nagasaki: a test or tragedy ?

International Nuclear Information System (INIS)

Faridah Mohd Idris

2003-01-01

Hiroshima and Nagasaki were left as monument by the history of the man civilization. This article discussed some of related issues i.e. the scenarios of the tragedy, the history of atomic bomb - starts with the discovery of neutrons to the day the tragedy happened

Sequelae of radiation facial epilation (North American Hiroshima maiden syndrome)

International Nuclear Information System (INIS)

Rosen, I.B.; Walfish, P.G.

1989-01-01

Radiation for benign problems of the head and neck area has been uniformly recognized as unacceptable practice. This includes epilation for facial hirsutism. Twelve such patients, recently encountered, have characteristic radiodermatitis facies and have demonstrated multisite neoplastic involvement--including skin, thyroid, parathyroid, salivary gland, oral cavity, facial skeleton, and breast--and have also undergone extensive dermatologic treatment of complications of radiodermatitis. There was one cancer death, and three patients are alive with cancer. Such patients have a superficial resemblance to the Hiroshima maiden group of young women who survived atomic bombing and experienced severe facial burns, necessitating extensive plastic surgery. As atomic survivors they are at increased risk for cancer of thyroid, salivary gland, lung, breast, bone marrow, and gastrointestinal tract. The North American Hiroshima maiden should warrant easy clinical recognition and require lifetime scrutiny for multisite neoplastic disease

Neoplasms among atomic bomb survivors in Hiroshima City. First report

Energy Technology Data Exchange (ETDEWEB)

Harada, Tomin; Ishida, Morihiro

1960-04-01

The 1957-1958 incidence of neoplasms among the survivors of the Hiroshima A-bomb, varies directly with radiation dose insofar as it may be inferred from distance from the hypocenter at exposure. The incidence of all malignant neoplasms among the survivors who were within 1000 meters is more than 4 times that of the non-exposed population. The incidence of benign neoplasms among the survivors exposed within 1500 meters is also significantly higher than that among the non-exposed. For survivors under 1500 meters significant differences are seen between the numbers of observed cancers of the lung, stomach, uterus and ovary and the expected cases calculated from the age-specific rates of the non-exposed portion of the Hiroshima population. The increased incidence among survivors within 1500 meters is not related to sex or age. 18 references, 2 figures, 14 tables.

Review of the radiological significance of revised dose estimates for the Hiroshima-Nagasaki bomb survivors

International Nuclear Information System (INIS)

Myers, D.K.; Osborne, R.V.

1988-03-01

Recently, the International Commission on Radiological Protection (ICRP) has indicated that new dosimetric and epidemiological data on Japanese bomb survivors will 'raise the risk estimate (for fatal cancers) for the exposed population by a total factor of the order of 2. This change is for a population of all ages, whereas for a worker population of ages 18-65 the changes will be small'. The present report has reviewed the available scientific literature that is relevant to this statement. The topics reviewed in this report include: a) the methods used in previous reports by scientific committees to calculate estimated lifetime risks of radiation-induced fatal cancers; b) recent revisions of the dosimetry for Hiroshima-Nagasaki survivors; c) updates on the epidemiological data on the Hiroshima-Nagasaki survivors; and d) revised estimates of fatal cancer risk from the Hiroshima-Nagasaki data

Hiroshima and Nagasaki: New doses, risks, and their implications

International Nuclear Information System (INIS)

Schull, W.J.; Shimizu, Y.; Kato, H.

1990-01-01

This presentation summarizes the recent re-evaluations of the dose and risk of cancer among survivors of the atomic bombing of Hiroshima and Nagasaki. It addresses briefly their limitations, and describes some of their implications for the lifetime projection of the risk of a fatal cancer following exposure to ionizing radiation

The Influence of the Climate Change on Landslide Disasters in Western Japan -Hiroshima's case-

Science.gov (United States)

Kubota, Tetsuya; Aditian, Aril

2015-04-01

In last year 2014 and 2012, tremendous landslides due to heavy rainfalls occurred in western Japan. Especially in August 2014, serious landslide disasters induced by the extremely heavy rainfall caused over 70 people's death in Hiroshima. Most of them were caused by debris flows from shallow landslides on granite forest slopes on August 20. In Hiroshima, long-term increase in rainfalls was not obvious, while this trend was found in other area such as Kyushu district. However, in western Japan, the influence of climate change emerged in the increase of vapor concentration caused by rising water surface temperature in East China Sea and that brought the extreme rainfall. The landslide (debris flow) disasters in Hiroshima have distinctive characteristics in terms of followings: (1) the source of debris flows (directly flowing down from mostly shallow landslides), (2) their usual equivalent friction coefficient "Mf" i.e. relative travel distance for Granite (values between 0.174 and 0.554). (3) the peculiar meteorological condition of frontogenesis with vapor convergence on the stationary front and around the Pacific high pressure that can generate the heavy precipitation (above 101 mm/hr, total 256 mm). (4) Contrary to Mf values above, they caused heavy disaster at downstream area with the urban development on hillside slopes. We found that the Mf becomes bigger (relatively short travel distance) as the return period of disasters"Tr"becomes shorter as evaluating in the next formula: Mf = 0.278 Tr^(-3.32). If the return period becomes shorter due to climate change (it is possible), Mf may become bigger. However, the cities such as Hiroshima, Kobe or Nagasaki in western Japan which have the urban area at hillside will be more prone to severe debris flow disasters. (5) Also, theoretically, we may have more slope failures and debris flows per area "N/A" if the rainfall increment "dR" increases. The "increasing ratio in N/A" is given by next equation: (N/A)/(N0/A)=((R0 + d

Trace analysis of irradiated steel samples from hiroshima by laser ablation inductively coupled plasma mass spectrometry

International Nuclear Information System (INIS)

Helal, A.I.; Zahran, N.F.

2000-01-01

A double focusing (JEOL, PLASMAX2) and quadrupole (ELAN6000, Perkin Elmer) mass spectrometers were used for the quantitative analysis of trace elements in steel samples from Hiroshima. The quantification of the analytical results was carried out using steel 468 as a standard reference material. The relative sensitivity coefficients (RSC's) for most of the elements varied between 0.12 and 2.93. The effect of iron as a matrix and the non-spectroscopic interferences are studied. Comparison of the results obtained on two steel samples from Hiroshima with that obtained on steel 468 standard reference materials demonstrated that there is no significant difference between them. Therefore, it is possible to say that the irradiated steel samples from Hiroshima have nearly the same specifications of trace element content as those of the normal steel samples

Hiroshima and ourselves

International Nuclear Information System (INIS)

Lifton, R.J.

1985-01-01

The author discusses his feelings and responses which he experienced from interviewing Hiroshima survivors. As survivors attempted to recall their feelings at the time of the bomb, they conveyed a sense of having been immersed in a sea of death. They remembered not only the expectation of their own death but also the sense that the whole world was dying. What impressed the author most was the survivor's lifelong encounter with death, which could be understood as taking place in four stages: the immersion in death at the time of the bomb; the experience of acute radiation effects (including extreme weakness, severe gastrointestinal symptoms, bleeding into the skin and from bodily orifices, high fever, low white blood cell counts, alopecia, and death); delayed radiation effects (increased incidence of leukemia and of many forms of cancer); and an eventual sense of permanent death taint associated with the identity of hibakusha, or explosion-affected person

Estimation of the Hiroshima bomb yield and weather conditions at the time of the bomb

International Nuclear Information System (INIS)

Tajima, Eizo

1984-01-01

The results of the survey made immediately after the bombings in Hiroshima and Nagasaki were compiled in Collection of Reports on the Investigation of the Atomic Bomb Casualties published in 1953. Much valuable information for the reassessment of dose are included in this document. One of the major problems to be solved for the dose reassessment is the yield of the Hiroshima bomb. Two articles with relatively detailed description were selected, and the estimation of the yield was attempted, based on them. The data on roof tile melting were used for the purpose. Assuming the yield of the Nagasaki bomb as 22 kt, the yield of the Hiroshima bomb was given as 12.4 kt. By the experiment using the charred state of cypress boards, the total radiant energy from the bomb was calculated as 4.6 x 10 12 cal, and the yield of the Hiroshima bomb was estimated as 14.2 kt and 13.2 kt. The true value is likely between 12 and 13 kt. The vapor pressure at the time of bombing significantly affected the neutron spectrum. On the day of bombing, Japan was covered by hot, humid maritime air mass, namely summer monsoon pattern. The air density and water vapor content in the atmosphere were determined by the Japan Weather Association, and compared with the data of Dr. Kerr et al. (Kako, I.)

August 2014 Hiroshima landslide disaster and its societal impact

Science.gov (United States)

Fukuoka, Hiroshi; Sassa, Kyoji; Wang, Chunxiang

2015-04-01

In the early morning of August 20, 2014, Hiroshima city was hit by a number of debris flows along a linear rain band which caused extreme downpour. This disaster claimed 74 death, although this city experienced very similar disaster in 1999, claiming more than 30 residents lives. In the most severely affected debris flow torrent, more than 50 residents were killed. Most of the casualties arose in the wooden, vulnerable houses constructed in front of the exit of torrents. Points and lessons learnt from the disaster are as follows: 1. Extreme rainfall events : geology and geomorphology does not much affect the distribution of landslides initiation sites. 2. Area of causative extreme rainfall is localized in 2 km x 10 km along the rain band. 3. Authors collected two types of sands from the source scar of the initial debris slides which induced debris flows. Tested by the ring shear apparatus under pore-pressure control condition, clear "Sliding surface liquefaction" was confirmed for both samples even under small normal stress, representing the small thickness of the slides. These results shows even instant excess pore pressure could initiate the slides and trigger slide-induced debris flow by undrained loading onto the torrent deposits. 4. Apparently long-term land-use change affected the vulnerability of the community. Residential area had expanded into hill-slope (mountainous / semi-mountainous area) especially along the torrents. Those communities were developed on the past debris flow fan. 5. As the devastated area is very close to downtown of Hiroshima city, it gave gigantic societal impact to the Japanese citizens. After 1999 Hiroshima debris flow disaster, the Landslide disaster reduction law which intends to promote designation of landslide potential risk zones, was adopted in 2000. Immediately after 2014 disaster, national diet approved revision of the bill.

Workshop Report on Atomic Bomb Dosimetry--Review of Dose Related Factors for the Evaluation of Exposures to Residual Radiation at Hiroshima and Nagasaki.

Science.gov (United States)

Kerr, George D; Egbert, Stephen D; Al-Nabulsi, Isaf; Bailiff, Ian K; Beck, Harold L; Belukha, Irina G; Cockayne, John E; Cullings, Harry M; Eckerman, Keith F; Granovskaya, Evgeniya; Grant, Eric J; Hoshi, Masaharu; Kaul, Dean C; Kryuchkov, Victor; Mannis, Daniel; Ohtaki, Megu; Otani, Keiko; Shinkarev, Sergey; Simon, Steven L; Spriggs, Gregory D; Stepanenko, Valeriy F; Stricklin, Daniela; Weiss, Joseph F; Weitz, Ronald L; Woda, Clemens; Worthington, Patricia R; Yamamoto, Keiko; Young, Robert W

2015-12-01

Groups of Japanese and American scientists, supported by international collaborators, have worked for many years to ensure the accuracy of the radiation dosimetry used in studies of health effects in the Japanese atomic bomb survivors. Reliable dosimetric models and systems are especially critical to epidemiologic studies of this population because of their importance in the development of worldwide radiation protection standards. While dosimetry systems, such as Dosimetry System 1986 (DS86) and Dosimetry System 2002 (DS02), have improved, the research groups that developed them were unable to propose or confirm an additional contribution by residual radiation to the survivor's total body dose. In recognition of the need for an up-to-date review of residual radiation exposures in Hiroshima and Nagasaki, a half-day technical session was held for reports on newer studies at the 59 th Annual HPS Meeting in 2014 in Baltimore, MD. A day-and-a-half workshop was also held to provide time for detailed discussion of the newer studies and to evaluate their potential use in clarifying the residual radiation exposure to atomic bomb survivors at Hiroshima and Nagasaki. The process also involved a re-examination of very early surveys of radioisotope emissions from ground surfaces at Hiroshima and Nagasaki and early reports of health effects. New insights were reported on the potential contribution to residual radiation from neutron-activated radionuclides in the airburst's dust stem and pedestal and in unlofted soil, as well as from fission products and weapon debris from the nuclear cloud. However, disparate views remain concerning the actual residual radiation doses received by the atomic bomb survivors at different distances from the hypocenter. The workshop discussion indicated that measurements made using thermal luminescence and optically stimulated luminescence, like earlier measurements, especially in very thin layers of the samples, could be expanded to detect possible

Commemoration of the bombing of Hiroshima

International Nuclear Information System (INIS)

Sawada, Shoji

1999-01-01

On the occasion of 52 anniversary of bombing Hiroshima this speech is given by one if the survivors, stating that it is obvious that using nuclear weapons is the cruelest and most inexcusable crime in human history. It never should be used against anyone, for any purpose, anywhere. In the Statement of the Pugwash Council, in 1995, the theory of nuclear deterrence was clearly rejected. This certainly played a significant role in the award of 1995 Nobel Prize to Pugwash Conferences. The close of 20th century provides the best occasion to affirm the international political will to prohibit nuclear weapons

Hospital and clinic survey estimates of medical x-ray exposures in Hiroshima and Nagasaki, (1)

International Nuclear Information System (INIS)

Sawada, Shozo; Land, C.E.; Otake, Masanori; Russell, W.J.; Takeshita, Kenji.

1980-11-01

All large hospitals and 40% of the small hospitals and clinics in Hiroshima and Nagasaki cities were surveyed for the X-ray examinations they performed during a 2-week period in 1974. The frequency and type of X-ray examinations received by members of the RERF Adult Health Study (AHS) and the RERF Life Span Study (LSS) extended, excluding AHS (Non-AHS), were compared with the general population in each city. Radiologic exposures of patients at hospitals and clinics were most frequent among the general populations. The number of patients, examinations, and exposures per caput per year in each population were estimated. Since the age distribution differed among the three populations, comparisons were made only after correcting for age. On a per caput per year basis exposure frequency was relatively high in the AHS and low in the general populations, a reflection of the greater number of patients in the AHS than in the general populations. Non-AHS males in Nagasaki had a higher X-ray examination rate than did the AHS subjects. The others in the Non-AHS did not differ appreciably from the general populations. There was no difference among these groups according to body sites examined. (author)

Los Alamos, Hiroshima, Nagasaki - a personal recollection

International Nuclear Information System (INIS)

Morrison, P.

1995-01-01

The author, a physicist participating in the Manhattan Project, recalls his experiences and work in the laboratories at the time which marked the onset of the nuclear era, the construction of the first uranium and plutonium bombs in Los Alamos, and the hidious effects shown to the world by the nuclear bombing of Japan. His thoughts and memories presented 50 years after the nuclear destruction of Hiroshima and Nagasaki, and now that the Cold War has ended, call for a global ban of nuclear weapons. (orig.) [de

Activation Measurements for Thermal Neutrons, Part D. U.S. Measurements of 36Cl in Mineral Samples from Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Tore Straume; Alfredo A, Marchetti; Stephen D, Egbert; James A, Roberts; Ping Men; Shoichiro Fujita; Kiyoshi Shizuma; Masaharu Hoshi; G, Rugel; W, Ruhm; G, Korschinek; J. E. McAninch; K. L. Carroll; T. Faestermann; K. Knie; R. E. Martinelli; A. Wallner; C. Wallner

2005-01-01

The present paper presents the 36 Cl measurement effort in the US. A large number of 36 Cl measurements have been made in both granite and concrete samples obtained from various locations and distances in Hiroshima and Nagasaki. These measurements employed accelerator mass spectrometry (AMS) to quantify the number of atoms of 36 Cl per atom of total Cl in the sample. Results from these measurements are presented here and discussed in the context of the DS02 dosimetry reevaluation effort for Hiroshima and Nagasaki atomic-bomb survivors. The production of 36 Cl by bomb neutrons in mineral samples from Hiroshima and Nagasaki was primarily via the reaction 35 Cl(n,γ) 36 Cl. This reaction has a substantial thermal neutron cross-section (43.6 b at 0.025 eV) and the product has a long half-life (301,000 y). hence, it is well suited for neutron-activation detection in Hiroshima and Nagasaki using AMS more than 50 years after the bombings. A less important reaction for bomb neutrons, 39 K(n,α) 36 Cl, typically produces less than 10% of the 36 Cl in mineral samples such as granite and concrete, which contain ∼ 2% potassium. In 1988, only a year after the publication of the DS86 final report (Roesch 1987), it was demonstrated experimentally that 36 Cl measured using AMS should be able to detect the thermal neutron fluences at the large distances most relevant to the A-bomb survivor dosimetry. Subsequent measurements in mineral samples from both Hiroshima and Nagasaki validated the experimental findings. The potential utility of 36 Cl as a thermal neutron detector in Hiroshima was first presented by Haberstock et al. who employed the Munich AMS facility to measure 36 Cl/Cl ratios in a gravestone from near the hypocenter. That work subsequently resulted in an expanded 36 Cl effort in Germany that paralleled the US work. More recently, there have also been 36 Cl measurements made by a Japanese group. The impetus for the extensive 36 Cl and other neutron activation

An explanation of the Hiroshima activation dilemma

International Nuclear Information System (INIS)

Rhoades, W.A.; Barnes, J.M.; Santoro, R.T.

1994-01-01

A 1987 study of the radiation from the World War II nuclear weapons applied state-of-the-art data and computer techniques, providing an important advance in reliability of the results. Still, a disturbing disagreement remained between slow-neutron activation measurements and calculations for the Hiroshima event. Newer data have confirmed the validity of the discrepancy. This work examines various potential explanations. Of those examined, only an enhancement to the weapon neutron leakage spectrum in the vicinity of the 2.3 MeV oxygen cross section window can fit the data accurately

Leukemia in Hiroshima atomic bomb survivors from 1946 to 1975

International Nuclear Information System (INIS)

Ohkita, Takeshi

1976-01-01

In five recent years, 134 deaths from leukemia among Hiroshima citizen were recorded. Of these, 23 cases (17 acute and 6 chronic types) were atomic bomb survivors exposed within 2,000 m of the hypocenter. Fifteen of them (65%) were over 60 years of age. The frequency of chronic lymphocytic leukemia was still low. Although the risk of leukemia was greatly reduced after 1961, and the frequency of chronic granulocytic leukemia (one of the most characteristic type of Hiroshima atomic bomb-induced leukemia) was also decreased, the death rate from leukemia among survivors exposed within 2,000 m or 1,500 m from the hypocenter was about 3 to 4 times higher than the mean death rate in all Japan. Therefore, careful and long-range follow-up surveillance should be continued. A brief review was also made of relevant studies such as the influence of environmental and host factors in the epidemiology of leukemia, the incidence of leukemia in children exposed in utero, and leukemia in offspring of atomic bomb survivors. (Evans, J.)

Statistical study of autopsy cases in Hiroshima Atomic Bomb Hospital 1956-1975

Energy Technology Data Exchange (ETDEWEB)

Hamada, T; Ishida, S [H.ma Atomic Bomb Hospital (Japan); Matsushita, Hiroshi

1976-03-01

In order to study the differences in the incidence of a variety of disease (excluding tumors), between the cases exposed to the atomic bomb and those who were unexposed, main lesions were studied statistically by autopsy. The subjects were 1230 cases autopsied at the Hiroshima Atomic Bomb Hospital or the Hiroshima Red-Cross Hospital. They were divided into 318 cases exposed at a short distance from the bombed area (within 2 km), and 420 cases exposed at a long distance from that area (more than 2 km), including those who had come to Hiroshima later. Four hundred twenty nine unexposed cases were selected as controls. The incidence of tumor, disturbance of circulation, disturbance of the blood vessels in the brain, blood disease, and respiratory disease was higher in the exposed cases than in the unexposed cases. The incidence of cirrhosis of the liver was higher in females than in males, and was lower in cases farther from the bombed area. Cardiac infarction, valvular disease, and endocarditis were more often seen in the cases exposed near the bombed area. The incidence of the blood vessels in the brain was highest in the exposed cases near the bombed area. The incidence of disturbance of circulation, and disturbance of the blood vessels in the brain had a tendency to be higher in the exposed cases than in the unexposed cases. This is considered to be due to the advanced age in the exposed cases.

Study on origin and sedimentary environment of marine sediments from Kii Channel, Hiroshima Bay and Tosa Bay

International Nuclear Information System (INIS)

Suzuki, Misaki

2008-01-01

The trace amounts of elements in the sediments of sea bottom in Kii Channel, Hiroshima Bay and Tosa Bay were determined quantitatively by the neutron activation analysis. The following facts were illustrated particularly from the quantitative analysis of scandium, rare earths, thorium and uranium: 1) It was known from Ce/La ratio that the geological feature in the west part of Japan is reflected in Kii Channel, Hiroshima Bay and Tosa Bay; 2) The rare-earth element pattern and La/Lu ratio suggest the fact that Kii Channel, Hiroshima Bay and Tosa Bay are essentially composed of the materials of which origin is land; 3) From the fact that Ce/La ratio in these sites are slightly under 1.0, these sites are considered to be affected mainly by the materials of which origin is land; 4) The sedimentary environment in the marine bottom of the Japanese coasts has been found to be mostly under a reductive state. (M.H.)

Hiroshima Synchrotron Radiation Center - An outline and scientific activities

CERN Document Server

Taniguchi, M

2003-01-01

High energy-resolution and low-temperature photoemission spectroscopies (DELTA E=4.5-20 meV and T=6-300 K) have been started on undulator beamlines at Hiroshima Synchrotron Radiation Center with a compact light source. Beamlines for high energy-resolution photoemission spectroscopy and their application to direct observation of pseudogap formation in Kondo systems (CeRhAs, CeRhSb, CePtSn and CeNiSn, LaNiSn) are presented.

A statistical study of autopsy cases in Hiroshima Atomic Bomb Hospital 1956-1975

International Nuclear Information System (INIS)

Hamada, Tadao; Ishida, Sadamu; Matsushita, Hiroshi.

1976-01-01

In order to study the differences in the incidence of a variety of disease (excluding tumors), between the cases exposed to the atomic bomb and those who were unexposed, main lesions were studied statistically by autopsy. The subjects were 1230 cases autopsied at the Hiroshima Atomic Bomb Hospital or the Hiroshima Red-Cross Hospital. They were divided into 318 cases exposed at a short distance from the bombed area (within 2 km), and 420 cases exposed at a long distance from that area (more than 2 km), including those who had come to Hiroshima later. Four hundred twenty nine unexposed cases were selected as controls. The incidence of tumor, disturbance of circulation, disturbance of the blood vessels in the brain, blood disease, and respiratory disease was higher in the exposed cases than in the unexposed cases. The incidence of cirrhosis of the liver was higher in females than in males, and was lower in cases farther from the bombed area. Cardiac infarction, valvular disease, and endocarditis were more often seen in the cases exposed near the bombed area. The incidence of the blood vessels in the brain was highest in the exposed cases near the bombed area. The incidence of disturbance of circulation, and disturbance of the blood vessels in the brain had a tendency to be higher in the exposed cases than in the unexposed cases. This is considered to be due to the advanced age in the exposed cases. (Serizawa, K.)

Atomic bomb dosimetry for epidemiological studies of survivors in Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Maruyama, Takashi

1986-01-01

Better atomic bomb (A-bomb) radiation dose estimates with a higher accuracy are required for the epidemiological studies in Hiroshima and Nagasaki. Several scientists have tried to evaluate the free-in-air gamma ray and neutron dose and some weighting factors such as house shielding and body shielding. Since 1965, the tentative 1965 dose (T65D) has been widely used as the basic data for the dose determination of A-bomb survivors in epidemiological studies. In 1976, however, the reevaluation of the T65D dose was proposed by an American scientist who calculated the A-bomb doses on the basis of declassified data on the radiation spectra of the A-bomb. The development of computer technology made it possible to perform complicated dosecalculations for the Hiroshima and Nagasaki bombs. This paper describes the history of A-bomb dosimetry, reviews some issues in the determination of T65D, and discusses the necessity of reassessment of A-bomb dose and the expected values for survivors. (author)

Atomic bomb dosimetry for epidemiological studies of survivors in Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Maruyama, T.

1986-01-01

Better atomic bomb (A-bomb) radiation dose estimates with a higher accuracy are required for the epidemiological studies in Hiroshima and Nagasaki. Several scientists have tried to evaluate the free-in-air gamma ray and neutron dose and some weighting factors such as house shielding and body shielding. Since 1965, the tentative 1965 dose (T65D) had been widely used as the basic data for the dose determination of A-bomb survivors in epidemiological studies. In 1976, however, the reevaluation of the T65D dose was proposed by an American scientist who calculated the A-bomb doses on the basis of declassified data on the radiation spectra of the A-bomb. The development of computer technology made it possible to perform complicated dosecalculations for the Hiroshima and Nagasaki bombs. This paper describes the history of A-bomb dosimetry, reviews some issues in the determination of T65D, and discusses the necessity of reassessment of A-bomb dose and the expected values for survivors

A review of 40 years studies of Hiroshima and Nagasaki atomic bomb survivors

International Nuclear Information System (INIS)

Itsuzo Shigematsu

1993-01-01

The late health effects of ionizing radiation have been studied by the Atomic Bomb Casualty Commission (ABCC) and its successor, the Radiation Effects Research Foundation (RERF) based on a fixed population of atomic bomb survivors in Hiroshima and Nagasaki which had been established in 1950. The results thus far obtained up to the present can be classified into the following three categories: (1) The effects for which a strong association with atomic bomb radiation has been found include malignant neoplasms, cataracts, chromosomal aberrations, small head size and mental retardation among the in utero exposed. (2) A weak association has been found in the several sites of cancers, some non-cancer mortalities and immunological abnormalities. (3) No association has been observed in some types of leukemia, osteosarcoma, accelerated aging, sterility and hereditary effects

Public health nutritional studies on the atomic bomb female survivors living in Hiroshima

International Nuclear Information System (INIS)

Munaka, Masaki

1983-01-01

The dietary life and socio-economic status of atomic bomb female survivors living in Hiroshima were investigated. The atomic bomb survivors group exposed at a long distance (LDG) was found to take a great quantity of soybean curd, miso and fruit except citrus, while the atomic bomb survivors group exposed at a short distance (SDG) was found to take a significant amount of fish paste products. SDG tends to ingest processed food and in nutrient supply rate the percentage of calcium, iron and vitamin A is low. Judging from a state of food group without a meal rate, we got the result that SDG has a few kinds of ingestion food and takes them partially in each meal. In terms of socio-economic status, the rate of living alone, supporting oneself and living an empty life is high and the rate of living with a partner is low. On the other hand, we analysed the relations of three factors on physique.physical fitness and living status, and then got the following results. (1) ''Volume capacity'', in the cases of ''be married at present'', ''have a large family'', ''ingest a lot of protein and iron'', tends to be large, while in the cases of ''have no dis ease'', ''don't go without a meal'', ''ingest a lot of carbohydrates (non-fibrous)'', and ''nutr itional balance is good'', it tends to be small. (2) ''Height'', in the case of ''socio-economical status was good before exposure to the atomic bomb'', tends to increase. (3) ''Synthetic physical fitness'', in the cases of ''health condition is good at present'', ''have no disease at present'', ''ingest a lot of vitamin A'' and ''nutritional balance is good'', tends to be superior; in the cases of ''food cost is high'' and ''ingest a lot of carbohydrates (non-fibrous)'', it tends to be low. The significant difference was observed in ''synthetic physical fitness'' between the two age groups of 50-59 years and beyond 70 years. (author)

Autopsy study of small cardiac scars in Japanese men who lived in Hiroshima, Japan and Honolulu, Hawaii

International Nuclear Information System (INIS)

Steer, A.; Lee, S.S.; Stemmermann, G.N.; Yamamoto, Tsutomu; Rhoads, G.G.

1978-10-01

Japanese men long resident in Honolulu, Hawaii have significantly more ischemic heart disease, but significantly fewer small cardiac scars than men in Hiroshima, Japan. These scars occur in three forms: 1) small scars in the mural myocardium which account for the difference in frequency of small lesions in the two cities, and are of uncertain etiology; 2) areas of diffuse fibrosis in the papillary muscles. These are equally frequent in the two cities, and are associated with advancing age and sclerosis of papillary muscle arteries; and 3) focal scars in the papillary muscles. These are more frequent in Honolulu than Hiroshima. They are healed infarcts due to ischemic heart disease and are associated with a severe degree of extramural coronary artery sclerosis. Small mural myocardial scars, when present, are usually found in multiple sites, and are not related to age at death or heart weight. They are more common in the presence of sclerosis of intramural small arteries, but this association does not explain their more frequent occurrence in Hiroshima. There is no evidence that they are related to A-bomb radiation exposure. (author)

Examination of human diaphragms for trichinosis, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Gould, S E; Ozaki, Hiroyuki; Kimura, Kazuo

1961-11-30

Trichinella spiralis has been found in three species of mammals born in Hokkaido so it possibly infects other species in Japan, including man. Although examination of human diaphragms in a small series of 149 autopsies in Hiroshima and 37 autopsies in Nagasaki (by digestion, compression, and microscopic sections) failed to reveal any instance of trichinous infection, it is felt that the existence or absence of human trichinosis inJapan can be determined only by examination covering a larger series of autopsies, and performed in various parts of the country. 6 references.

Tendency of socio-psychological aftereffects on aged survivors in Hiroshima A-bomb survivors home

International Nuclear Information System (INIS)

Shimizu, Kiyoshi; Mishima, Tetsuo; Watanabe, Michiko

1984-01-01

Psychosomatic status at the time of A-bomb explosion, behavior and impression immediately after the explosion, aftereffects on life, and mental changes were sought through interview for 80 aged survivors in Hiroshima A-bomb survivor home by psychiatric social workers. (Namekawa, K.)

Memory and Identity in the Emotive Map of Alain Resnais’ Hiroshima Mon Amour (1959

Directory of Open Access Journals (Sweden)

Jytte Holmqvist

2014-11-01

Full Text Available The focus of this article is Alain Resnais’ representation of collective and individual memory and identity in Hiroshima Mon Amour (1959. The film is based on Marguerite Duras’ script from 1958 and remains faithful to this original text. With partial reference to Giuliana Bruno’s views on imaginary cities and urban cartography, the screened urban space will here be read as an emotive map in which the individual love story between the protagonists unfolds against the backdrop of their almost equally intimate relationship with the historically abused city of Hiroshima. This, in Bruno’s words helps create an affective “map of love” (243 or a “body-city on a tender map” (242. The paper highlights the fluid relationship between the protagonists and their environment, as well as the semi-documentary aspects of a film that establishes an effective dialogue between past and present.

La voix off au féminin : Hiroshima mon amour et Aurélia Steiner

Directory of Open Access Journals (Sweden)

Jennifer Cazenave

2011-07-01

Full Text Available Une étude comparée du grand film moderne d’Alain Resnais, Hiroshima mon amour (1959, et du dyptique de Marguerite Duras, Aurélia Steiner (1979, laisse entrevoir une filiation entre deux films que vingt ans séparent et où s’entrecroisent un certain nombre de fils conducteurs : le lieu et la parole ; l’histoire et la mémoire ; la voix-off au féminin et l’irreprésentable. Il s’agira donc de penser ces deux œuvres cinématographiques à partir du rapport entre le parler féminin et la représentation du passé, soit la tonte des femmes au moment de la libération dans Hiroshima mon amour, soit l’extermination des Juifs d’Europe dans Aurélia Steiner.

Health Literacy and Older Adults

Science.gov (United States)

Chesser, Amy K.; Keene Woods, Nikki; Smothers, Kyle; Rogers, Nicole

2016-01-01

Objective: The objective of this review was to assess published literature relating to health literacy and older adults. Method: The current review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses. Results: Eight articles met inclusion criteria. All studies were conducted in urban settings in the United States. Study sample size ranged from 33 to 3,000 participants. Two studies evaluated health-related outcomes and reported significant associations between low health literacy and poorer health outcomes. Two other studies investigated the impact of health literacy on medication management, reporting mixed findings. Discussion: The findings of this review highlight the importance of working to improve health care strategies for older adults with low health literacy and highlight the need for a standardized and validated clinical health literacy screening tool for older adults. PMID:28138488

Hiroshima to Fukushima biohazards of radiation

CERN Document Server

Ochiai, Eiichiro

2014-01-01

Set against a backdrop of the recent disaster at the Fukushima nuclear power plant, "Hiroshima to Fukushima" examines the issue of radiation safety. The author provides important and accurate scientific information about the radioactive substances arising from nuclear power plants and weapons, including the effects of this radiation on living organisms. Currently, humankind is at a crossroads and must decide whether to phase out or increase its reliance on nuclear power as weapons and an energy source. Although a few countries, mostly European, have vowed to abolish nuclear power as an energy source, many other countries are about to increase their nuclear power programs. This book is written from a Japanese perspective and thus provides an alternative to views of Western writers. The author includes rigorous scientific analyses, however maintains a broad scope which allows the book to be accessible to decision-makers and non-specialists.

The Effect of Childhood Health Status on Adult Health in China.

Science.gov (United States)

Wang, Qing; Zhang, Huyang; Rizzo, John A; Fang, Hai

2018-01-26

Childhood health in China was poor in the 1950s and 1960s because of limited nutrition. In the last three decades, China has distinguished itself through its tremendous economic growth and improvements in health and nutrition. However, prior to such growth, access to good nutrition was more variable, with potentially important implications, not only for childhood health, but also for adult health, because of its long-term effects lasting into adulthood. To shed light on these issues, this study examined the long-run association between childhood health and adult health outcomes among a middle-aged Chinese population and addresses the endogeneity of childhood health. A nationwide database from the 2011 China Health and Retirement Longitudinal Study (CHARLS) was employed. Three adult health outcomes variables were used: self-reported health status, cognition, and physical function. The local variation in grain production in the subjects' fetal period and the first 24 months following birth was employed as an instrument for childhood health in order to correct for its endogeneity. Childhood health recalled by the respondents was positively and significantly associated with their adult health outcomes in terms of self-reported health status, cognition, and physical function in single-equation estimates that did not correct for the endogeneity of childhood health. A good childhood health status increased the probabilities of good adult health, good adult cognitive function, and good adult physical function by 16% (95% CI: 13-18%), 13% (95% CI: 10-15%), and 14% (95% CI: 12-17%), respectively. After correcting for endogeneity, the estimated effects of good childhood health were consistent but stronger. We also studied the male and female populations separately, finding that the positive effects of childhood health on adult health were larger for males. In China, childhood health significantly affects adult health. This suggests that early interventions to promote

Population Health Management for Older Adults

Science.gov (United States)

Tkatch, Rifky; Musich, Shirley; MacLeod, Stephanie; Alsgaard, Kathleen; Hawkins, Kevin; Yeh, Charlotte S.

2016-01-01

Background: The older adult population is expanding, living longer, with multiple chronic conditions. Understanding and managing their needs over time is an integral part of defining successful aging. Population health is used to describe the measurement and health outcomes of a population. Objectives: To define population health as applied to older adults, summarize lessons learned from current research, and identify potential interventions designed to promote successful aging and improved health for this population. Method: Online search engines were utilized to identify research on population health and health interventions for older adults. Results: Population health management (PHM) is one strategy to promote the health and well-being of target populations. Interventions promoting health across a continuum tend to be disease, risk, or health behavior specific rather than encompassing a global concept of health. Conclusion: Many existing interventions for older adults are simply research based with limited generalizability; as such, further work in this area is warranted. PMID:28680938

Stomach cancer screening in the adult health study population

International Nuclear Information System (INIS)

Akiyama, Mitoshi; Yamakido, Michio; Otake, Masanori; Belsky, J.L.; Pastore, J.O.

1978-04-01

Examinations for parietal cell antibody (PCA) were performed on 1334 subjects of the Adult Health Study (AHS), Hiroshima, during a 1-year period. Findings revealed PCA in 112 subjects (8.4%), but no difference in frequency was noted by sex. The relationship of PCA to age showed the positive rate to be significantly higher in those age 50 or over than in those under 50. No correlation was noted between estimated A-bomb exposure dose and PCA frequency. PCA was found in 58 (11.6%) of the 502 cases presenting achlorhydria on tubeless gastric analysis, and particularly in the age 50 and over group, PCA was demonstrated in 43 (14.2%) of the 302 subjects presenting achlorhydria, which is a significant difference compared with the under 50 age group in which PCA was demonstrated in 15 (7.5%) of 200 such subjects. PCA was detected in 11 (7.2%) of 152 subjects with abnormal, or low, serum pepsinogen levels and in 20 (16.3%) of 123 subjects with high levels. The frequency of positive PCA was higher in patients diagnosed on upper gastrointestinal (GI) series as atrophic gastritis than in patients diagnosed as some other gastric disorder. PCA was negative in both of the two cases in whom a definite diagnosis of stomach cancer was established. However, in light of the finding of abnormal Diagnex Blue (DB) tests and positive PCA at a high frequency in the gastritis group and reports that gastritis provides the groundwork for stomach cancer, it is considered that care should be taken in cases with findings of abnormal DB test, abnormal serum pepsinogen levels, and positive PCA. (author)

Radiation dosimetry in Hiroshima and Nagasaki atomic bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Arakawa, E T

1959-01-01

This report summarizes the present state of knowledge in dosimetry of the Hiroshima-Nagasaki A-bomb survivors. Data have been presented on the physical factors involved in the two cities and on attenuation of radiation by various shielding situations. This information is being used to estimate a tentative radiation dose to individual A-bomb survivors. It should be emphasized that many important problems remain to be solved before accurate doses can be assigned to individual survivors. Such information will greatly strengthen investigation of biological consequences of instantaneous doses of gamma and neutron irradiation in men. 18 references, 9 figures.

Some thoughts on Hiroshima: 50 years after the bomb

International Nuclear Information System (INIS)

Kato, Shuichi

1997-01-01

Commemorating the fiftieth anniversary of Hiroshima, this paper covers three issues: Personal experience, concluding that the bomb was an extraordinary cruel weapon beyond imagination, Japanese experience, i.e. Japanese attitude against nuclear weapons and the actions to be undertaken in order to achieve nuclear-weapon-free world. The support of Non-proliferation Treaty, as well as the support of the protest against any kind of nuclear weapon experiments should be related to the understanding of the cause of the events against which one is protesting. The radical therapy would be the removal of the cause, i.e. the striking discrepancy of nuclear armaments

Health Literacy, Health Disparities, and Sources of Health Information in U.S. Older Adults.

Science.gov (United States)

Cutilli, Carolyn Crane; Simko, Lynn C; Colbert, Alison M; Bennett, Ian M

Low health literacy in older adults has been associated with poor health outcomes (i.e., mortality, decreased physical and cognitive functioning, and less preventive care utilization). Many factors associated with low health literacy are also associated with health disparities. Interaction with healthcare providers and sources of health information are influenced by an individual's health literacy and can impact health outcomes. This study examined the relationships between health literacy, sources of health information, and demographic/background characteristics in older adults (aged 65 years and older) related to health literacy and disparities. This descriptive, correlational study is a secondary analysis of the 2003 National Assessment of Adult Literacy, a large-scale national assessment. Older adults with lower health literacy have less income and education, rate their health as poor or fair, have visual or auditory difficulties, need help filling out forms, reading newspaper, or writing notes, and use each source of health information less (print and nonprint). Many of these characteristics and skills are predictive of health literacy and associated with health disparities. The results expand our knowledge of characteristics associated with health literacy and sources of health information used by older adults. Interventions to improve health outcomes including health disparities can focus on recognizing and meeting the health literacy demands of older adults.

Rediscovery of an old article reporting that the area around the epicenter in Hiroshima was heavily contaminated with residual radiation, indicating that exposure doses of A-bomb survivors were largely underestimated

International Nuclear Information System (INIS)

Sutou, Shizuyo

2017-01-01

The A-bomb blast released a huge amount of energy: thermal radiation (35%), blast energy (50%), and nuclear radiation (15%). Of the 15%, 5% was initial radiation released within 30 s and 10% was residual radiation, the majority of which was fallout. Exposure doses of hibakusha (A-bomb survivors) were estimated solely on the basis of the initial radiation. The effects of the residual radiation on hibakusha have been considered controversial; some groups assert that the residual radiation was negligible, but others refute that assertion. I recently discovered a six-decade-old article written in Japanese by a medical doctor, Gensaku Obo, from Hiroshima City. This article clearly indicates that the area around the epicenter in Hiroshima was heavily contaminated with residual radiation. It reports that non-hibakusha who entered Hiroshima soon after the blast suffered from severe acute radiation sickness, including burns, external injuries, fever, diarrhea, skin bleeding, sore throat and loss of hair—as if they were real hibakusha. This means that (i) some of those who entered Hiroshima in the early days after the blast could be regarded as indirect hibakusha; (ii) ‘in-the-city-control’ people in the Life Span Study (LSS) must have been irradiated more or less from residual radiation and could not function properly as the negative control; (iii) exposure doses of hibakusha were largely underestimated; and (iv) cancer risk in the LSS was largely overestimated. Obo's article is very important to understand the health effects of A-bombs so that the essence of it is translated from Japanese to English with the permission of the publisher.

Unpublished facts about cancer at Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Delpla, M.

1985-01-01

The author shows that, in spite of uncertainties concerning dosimetry, scientists conducting research into radiopathology can still find their best data in the case histories of atomic bomb survivors. Using his original method he finds that the relations between dose and cancer risk have the same staged form at Hiroshima and Nagasaki and also after radiotherapy. The three-stage shift along the dose axis is easy to interpret. The recent modification proposed for dosimetry of bomb radiation only modifies the dose at each stage. This dose-risk correlation makes it possible for him to pinpoint the carcinogenic effect of supraliminal doses from this radiation with a retroactivity of over thirty years [fr

Coping and health in older adults.

Science.gov (United States)

Yancura, Loriena A; Aldwin, Carolyn M

2008-02-01

Although coping has been shown to influence physical health in younger populations, whether coping affects health in older adults appears to depend upon how coping and health are conceptualized. This article reviews recent literature on coping and health in older adults in three areas. First, we discuss coping's distinct relevance to health in older adults. Second, we describe ways in which coping may differ between older and younger populations. Third, we detail recent and notable findings of coping's specific effects on biomedical health and health in general. The recent literature suggests that coping may be a developmental and multifaceted process. Positive coping strategies may have positive and even protective effects on health, whereas negative strategies may have negative effects.

Adult height, nutrition, and population health

Science.gov (United States)

Perkins, Jessica M.; Subramanian, S.V.; Davey Smith, George

2016-01-01

In this review, the potential causes and consequences of adult height, a measure of cumulative net nutrition, in modern populations are summarized. The mechanisms linking adult height and health are examined, with a focus on the role of potential confounders. Evidence across studies indicates that short adult height (reflecting growth retardation) in low- and middle-income countries is driven by environmental conditions, especially net nutrition during early years. Some of the associations of height with health and social outcomes potentially reflect the association between these environmental factors and such outcomes. These conditions are manifested in the substantial differences in adult height that exist between and within countries and over time. This review suggests that adult height is a useful marker of variation in cumulative net nutrition, biological deprivation, and standard of living between and within populations and should be routinely measured. Linkages between adult height and health, within and across generations, suggest that adult height may be a potential tool for monitoring health conditions and that programs focused on offspring outcomes may consider maternal height as a potentially important influence. PMID:26928678

Clinical survey of blood dyscrasias among Hiroshima A-bomb survivors by the periodical health examination, (3)

Energy Technology Data Exchange (ETDEWEB)

Taketomi, Y; Abe, T; Kamada, N; Kuramoto, A; Takahashi, H [Hiroshima Univ. (Japan). Research Inst. for Nuclear Medicine and Biology

1978-04-01

The actual condition of polycythemia in atomic bomb survivors was evaluated laying stress on the results of general clinical examinations in Hiroshima A-bomb Survivors Health Control Clinic in 1973. Of 40,410 subjects examined in 1973 (male 15,390; female 25,020), 218 males and 220 females, 438 in total, excluding the patients with cardiopulmonary diseases, satisfied the criteria for polycythemia that males show higher values over 17.1 g/dl of Hb and 51.5% of Ht and females over 15.2 g/dl of Hb and 46.0% of Ht. The incidence of this disease was higher in younger males but it increased with age in females. However, there was no correlationship between the incidence of this disease and the distance from the epicenter. Further, 10 males and 8 females, 18 in total, of these patients satisfied the Komiya's criteria for polycythemia (RBC 6,000,000, Ht 50% in males, and RBC 5,500,000, Ht>50% in females) in 1973 or before, and one of them was diagnosed as polycythemia vera by the present examination (1977). This survey was made on 40,410 subjects, one of which was diagnosed as polycythemia vera. Because of a lower incidence of polycythemia than that of leukemia, it was difficult to give an accurate diagnosis and it was also hard to evaluate the incidence of this disease in atomic bomb survivors comparing with that in healthy people. It is therefore required to pile up the data year after year. In various blood diseases such as chronic myelogenic leukemia and acute leukemia, the foregoing state of myeloid proliferation was sometimes observed preceding the onset of these blood diseases. Therefore, the 18 cases at least which satisfied the Komiya's criteria should be followed up carefully.

Clinical survey of blood dyscrasias among Hiroshima A-bomb survivors by the periodical health examination, (3)

International Nuclear Information System (INIS)

Taketomi, Yoshinori; Abe, Tsutomu; Kamada, Nanao; Kuramoto, Atsushi; Takahashi, Hiroshi

1978-01-01

The actual condition of polycythemia in atomic bomb survivors was evaluated laying stress on the results of general clinical examinations in Hiroshima A-bomb Survivors Health Control Clinic in 1973. Of 40,410 subjects examined in 1973 (male 15,390; female 25,020), 218 males and 220 females, 438 in total, excluding the patients with cardiopulmonary diseases, satisfied the criteria for polycythemia that males show higher values over 17.1 g/dl of Hb and 51.5% of Ht and females over 15.2 g/dl of Hb and 46.0% of Ht. The incidence of this disease was higher in younger males but it increased with age in females. However, there was no correlationship between the incidence of this disease and the distance from the epicenter. Further, 10 males and 8 females, 18 in total, of these patients satisfied the Komiya's criteria for polycythemia (RBC 6,000,000, Ht 50% in males, and RBC 5,500,000, Ht>50% in females) in 1973 or before, and one of them was diagnosed as polycythemia vera by the present examination (1977). This survey was made on 40,410 subjects, one of which was diagnosed as polycythemia vera. Because of a lower incidence of polycythemia than that of leukemia, it was difficult to give an accurate diagnosis and it was also hard to evaluate the incidence of this disease in atomic bomb survivors comparing with that in healthy people. It is therefore required to pile up the data year after year. In various blood diseases such as chronic myelogenic leukemia and acute leukemia, the foregoing state of myeloid proliferation was sometimes observed preceding the onset of these blood diseases. Therefore, the 18 cases at least which satisfied the Komiya's criteria should be followed up carefully. (Ueda, J.)

Andrew J. Rotter, Hiroshima – The Word’s Bomb

OpenAIRE

Pinto, André

2015-01-01

O livro Hiroshima – The world’s bomb de Andrew J. Rotter descreve, sob várias perspetivas, um dos incidentes mais marcantes do século XX. O alcance das bombas atómicas lançadas sobre o Japão deu a conhecer ao mundo uma arma com um poder destrutivo de tal ordem que Estados em guerra se poderiam destruir mutuamente em segundos. A ameaça atómica esteve no centro de um dos conflitos mais longos do século XX – a Guerra Fria – e está, ainda hoje, no centro de vários conflitos entre potências region...

Sensitivity/uncertainty analysis for the Hiroshima dosimetry reevaluation effort

International Nuclear Information System (INIS)

Broadhead, B.L.; Lillie, R.A.; Pace, J.V. III; Cacuci, D.G.

1987-01-01

Uncertainty estimates and cross correlations by range/survivor location have been obtained for the free-in-air (FIA) tissue kerma for the Hiroshima atomic event. These uncertainties in the FIA kerma include contributions due to various modeling parameters and the basic cross section data and are given at three ground ranges, 700, 1000 and 1500 m. The estimated uncertainties are nearly constant over the given ground ranges and are approximately 27% for the prompt neutron kerma and secondary gamma kerma and 35% for the prompt gamma kerma. The total kerma uncertainty is dominated by the secondary gamma kerma uncertainties which are in turn largely due to the modeling parameter uncertainties

Rediscovery of an old article reporting that the area around the epicenter in Hiroshima was heavily contaminated with residual radiation, indicating that exposure doses of A-bomb survivors were largely underestimated.

Science.gov (United States)

Sutou, Shizuyo

2017-09-01

The A-bomb blast released a huge amount of energy: thermal radiation (35%), blast energy (50%), and nuclear radiation (15%). Of the 15%, 5% was initial radiation released within 30 s and 10% was residual radiation, the majority of which was fallout. Exposure doses of hibakusha (A-bomb survivors) were estimated solely on the basis of the initial radiation. The effects of the residual radiation on hibakusha have been considered controversial; some groups assert that the residual radiation was negligible, but others refute that assertion. I recently discovered a six-decade-old article written in Japanese by a medical doctor, Gensaku Obo, from Hiroshima City. This article clearly indicates that the area around the epicenter in Hiroshima was heavily contaminated with residual radiation. It reports that non-hibakusha who entered Hiroshima soon after the blast suffered from severe acute radiation sickness, including burns, external injuries, fever, diarrhea, skin bleeding, sore throat and loss of hair-as if they were real hibakusha. This means that (i) some of those who entered Hiroshima in the early days after the blast could be regarded as indirect hibakusha; (ii) 'in-the-city-control' people in the Life Span Study (LSS) must have been irradiated more or less from residual radiation and could not function properly as the negative control; (iii) exposure doses of hibakusha were largely underestimated; and (iv) cancer risk in the LSS was largely overestimated. Obo's article is very important to understand the health effects of A-bombs so that the essence of it is translated from Japanese to English with the permission of the publisher. © The Author 2017. Published by Oxford University Press on behalf of The Japan Radiation Research Society and Japanese Society for Radiation Oncology.

Health Literacy, Social Support, and Health Status among Older Adults

Science.gov (United States)

Lee, Shoou-Yih D.; Arozullah, Ahsan M.; Cho, Young Ik; Crittenden, Kathleen; Vicencio, Daniel

2009-01-01

The study examines whether social support interacts with health literacy in affecting the health status of older adults. Health literacy is assessed using the short version of the Test of Functional Health Literacy in Adults. Social support is measured with the Medical Outcome Study social support scale. Results show, unexpectedly, that rather…

Zoonotic onchocerciasis in Hiroshima, Japan, and molecular analysis of a paraffin section of the agent for a reliable identification

Directory of Open Access Journals (Sweden)

Fukuda M.

2011-05-01

Full Text Available Japan is a country of high specific diversity of Onchocerca with eight species, the adults of two not yet known. Onchocerca dewittei japonica, a common filarial parasite of wild boar, had been proved to be the agent of five zoonotic onchocerciasis in Kyushu island with morphological and molecular studies. The sixth case, at Hiroshima in the main island, was identified to the same Onchocerca species, based on adult characters observed on histological sections. To consolidate the identification, mitochondrial cytochrome c oxidase subunit 1 (CO1 gene analysis was attempted with the formalin-fixed, paraffin-embedded parasite specimen. The sequence (196 bp of a CO1 gene fragment of the parasite successfully PCR-amplified agreed well with those of O. dewittei japonica registered in GenBank, confirming the morphological identification. Moreover a comparison with the CO1 gene sequences of six other Onchocerca species in GenBank excluded the possibility that Onchocerca sp. from wild boar and Onchocerca sp. type A from cattle in Japan, were the causative agents in this case. Mitochondrial DNA analysis proved to be a valuable tool to support the morphological method for the discrimination of zoonotic Onchocerca species in a histological specimen.

Public health nutritional studies on the atomic bomb female survivors living in Hiroshima

Energy Technology Data Exchange (ETDEWEB)

Munaka, Masaki (Hiroshima Univ. (Japan). Research Inst. for Nuclear Medicine and Biology)

1983-08-01

The dietary life and socio-economic status of atomic bomb female survivors living in Hiroshima were investigated. The atomic bomb survivors group exposed at a long distance (LDG) was found to take a great quantity of soybean curd, miso and fruit except citrus, while the atomic bomb survivors group exposed at a short distance (SDG) was found to take a significant amount of fish paste products. SDG tends to ingest processed food and in nutrient supply rate the percentage of calcium, iron and vitamin A is low. Judging from a state of food group without a meal rate, we got the result that SDG has a few kinds of ingestion food and takes them partially in each meal. In terms of socio-economic status, the rate of living alone, supporting oneself and living an empty life is high and the rate of living with a partner is low. On the other hand, we analysed the relations of three factors on physique.physical fitness and living status, and then got the following results. (1) ''Volume capacity'', in the cases of ''be married at present'', ''have a large family'', ''ingest a lot of protein and iron'', tends to be large, while in the cases of ''have no dis ease'', ''don't go without a meal'', ''ingest a lot of carbohydrates (non-fibrous)'', and ''nutr itional balance is good'', it tends to be small. (2) ''Height'', in the case of ''socio-economical status was good before exposure to the atomic bomb'', tends to increase. (3) ''Synthetic physical fitness'', in the cases of ''health condition is good at present'', ''have no disease at present'', ''ingest a lot of vitamin A'' and ''nutritional balance is good'', tends to be superior; in the cases of ''food cost is high

Hiroshima to Fukushima. Biohazards of radiation

Energy Technology Data Exchange (ETDEWEB)

Ochiai, Eiichiro

2014-04-01

Examines the issue of nuclear energy and nuclear weapons for a wide audience. Written from a Japanese perspective. Discusses one of the most important policy issues of the 21st Century. Set against a backdrop of the recent disaster at the Fukushima nuclear power plant, ''Hiroshima to Fukushima'' examines the issue of radiation safety. The author provides important and accurate scientific information about the radioactive substances arising from nuclear power plants and weapons, including the effects of this radiation on living organisms. Currently, humankind is at a crossroads and must decide whether to phase out or increase its reliance on nuclear power as weapons and an energy source. Although a few countries, mostly European, have vowed to abolish nuclear power as an energy source, many other countries are about to increase their nuclear power programs. This book is written from a Japanese perspective and thus provides an alternative to views of Western writers. The author includes rigorous scientific analyses, however maintains a broad scope which allows the book to be accessible to decision-makers and non-specialists.

Statement by IAEA Director General on the 60th anniversary of the atomic bombing of Hiroshima and Nagasaki

International Nuclear Information System (INIS)

2005-01-01

Full text: No one who has seen the victims, the film footage or photographs of the aftermath of the destruction of Hiroshima and Nagasaki at the end of World War II can fail to be horrified by the devastation that was wrought by the use of nuclear weapons. To date, Hiroshima and Nagasaki thankfully remain the only instances in which nuclear weapons have been used, and while it is difficult to speak of any good coming out of such ruin, it has always been hoped that the atomic bombing of Hiroshima and Nagasaki stand as constant reminders of why preventing the further use and proliferation of such weapons - and why nuclear disarmament leading to a nuclear-weapon-free world - is of utmost importance for the survival of humankind and planet Earth. The International Atomic Energy Agency born out of President Eisenhower's 'Atoms for Peace' vision, came at a time when the horrifying consequences and images of Hiroshima and Nagasaki were still fresh. Through its safeguards and verification system in support of the 1968 Treaty on the Non-Proliferation of Nuclear Weapons (NPT) and other similar non-proliferation agreements, the IAEA has done a great deal of work to help stem the tide of nuclear proliferation, while ensuring that the benefits of the peaceful uses of nuclear energy are made available to all those who want them. While the Agency can effectively verify compliance with non-proliferation undertakings, the value of these efforts can be better realized if they are reinforced by all other components of the nuclear non-proliferation and arms control regime, and accompanied by the political will and dialogue among concerned States to address underlying issues of security and confidence building with a view to achieving a system of collective security that no longer relies on nuclear weapons. A world without nuclear weapons remains a far-off goal and the world continues to be burdened with nearly thirty thousand nuclear warheads. The Comprehensive Nuclear-Test-Ban Treaty

Epidemiological studies. From experience in Hiroshima and Nagasaki to Fukushima

International Nuclear Information System (INIS)

Okubo, Toshiteru

2011-01-01

Results of epidemiological studies by Radiation Effects Research Foundation (RERF) on A-bomb survivors in Hiroshima and Nagasaki over 60 years are described as they are conceivably useful for present health risk assessment, future measures and health problems in Fukushima. The studies conducted in the two Cities on total of about 120,000 people of survivors and unexposed control group have given following findings. Incidence of leukemia is increased several years after A-bomb exposure, and of diseases like thyroidal ones, cataract and solid cancers, at 10-20 years later. Individual dose assessment of these morbid people is established (DS02, Dosimetry published in 2003), which reveals the quantitative relationship between dose and incidence. This relationship is used as a reference to make up an international standard for protection of radiation hazard. Mean of excess relative risk (ERR) on linear non-threshold (LNT) hypothesis of solid cancers is around 0.4/Gy at age of 70 y for people exposed at age 30 y although there is a significant age and sex difference in ERR. As well as survivors, studies are performed on exposed fetuses and second generations from the exposed people, which show the increased incidence of newborn microcephaly from mothers exposed with high dose but overall health abnormality is not seen in offspring from exposed parents. Radiation exposure is mainly instantaneous in the two Cities and is mostly derived from neutron and gamma-ray, which are somehow different from that in Fukushima due to Nuclear Power Plant Accident. The latter involves long term external and internal exposures with alpha-, beta- and gamma-ray hereafter. The difference should be well recognized for risk assessment in Fukushima; exempli gratia (e.g.), at the same dose, instantaneous exposure is mentioned more risky than long term one. (T.T.)

Hiroshima: A Study in Science, Politics and the Ethics of War. Teacher and Student Manuals.

Science.gov (United States)

Harris, Jonathan

By focusing on the question of whether it was right or wrong to drop the atomic bomb on Hiroshima, this social studies unit seeks to illuminate the political, military, scientific, and moral complexities involved in making far-reaching decisions today. Sections of the unit use primary materials from American, Japanese, and English sources to…

Health Literacy, Cognitive Ability, and Functional Health Status among Older Adults

Science.gov (United States)

Serper, Marina; Patzer, Rachel E; Curtis, Laura M; Smith, Samuel G; O'Conor, Rachel; Baker, David W; Wolf, Michael S

2014-01-01

Objective To investigate whether previously noted associations between health literacy and functional health status might be explained by cognitive function. Data Sources/Study Setting Health Literacy and Cognition in Older Adults (“LitCog,” prospective study funded by National Institute on Aging). Data presented are from interviews conducted among 784 adults, ages 55–74 years receiving care at an academic general medicine clinic or one of four federally qualified health centers in Chicago from 2008 to 2010. Study Design Study participants completed structured, in-person interviews administered by trained research assistants. Data Collection Health literacy was measured using the Test of Functional Health Literacy in Adults, Rapid Estimate of Adult Literacy in Medicine, and Newest Vital Sign. Cognitive function was assessed using measures of long-term and working memory, processing speed, reasoning, and verbal ability. Functional health was assessed with SF-36 physical health summary scale and Patient Reported Outcomes Measurement Information System short form subscales for depression and anxiety. Principal Findings All health literacy measures were significantly correlated with all cognitive domains. In multivariable analyses, inadequate health literacy was associated with worse physical health and more depressive symptoms. After adjusting for cognitive abilities, associations between health literacy, physical health, and depressive symptoms were attenuated and no longer significant. Conclusions Cognitive function explains a significant proportion of the associations between health literacy, physical health, and depression among older adults. Interventions to reduce literacy disparities in health care should minimize the cognitive burden in behaviors patients must adopt to manage personal health. PMID:24476068

Background and status of clinical study is determine effects of in utero exposure Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Burrow, G N; Hrubec, Zdenek, Finch, S.C.

1964-07-02

The mortality experience of a cohort of approximately 100,000 persons selected from survivors of the Hiroshima and Nagasaki atomic bombings and a comparison of persons who were not in the cities at the time of bombing (ATB) was studied for the period 1 October 1950-30 September 1959.

Quick Guide to Health Literacy and Older Adults

Science.gov (United States)

... Health Promotion Quick Guide to Health Literacy and Older Adults skip to content ODPHP Health Communication Healthy People ... and Patient e-Health Resources Health Literacy and Older Adults Who is this guide for? Why are health ...

An autopsy study of cerebrovascular disease in Japanese men who lived in Hiroshima, Japan and Honolulu, Hawaii

International Nuclear Information System (INIS)

Mitsuyama, Yoshio; Thompson, L.R.; Hayashi, Takuji; Lee, K.K.; Keehn, R.J.

1979-01-01

Evidence of cerebrovascular disease at autopsy was compared in two groups of men, 186 long time residents of Hiroshima, Japan and 253 men of Japanese ancestry long resident in Honolulu, Hawaii. They were from 45 to 71 years of age at death. Atherosclerosis of the circle of Willis and its major branches, sclerosis of the intraparenchymal arteries and the frequency of cerebral hemorrhage and cerebral infarct were compared in the two populations. The Honolulu subjects had significantly more atherosclerosis of the circle of Willis, but less intraparenchymal artery sclerosis and less cerebral infarction. Cerebral hemorrhage was equally frequent in the two cities. It was concluded that cerebral infarction is more frequent in Japanese men in Hiroshima than Honolulu, and that men of Japanese ancestry in Honolulu are spared an appreciable risk of cerebral infarction through decreased frequency of intraparenchymal arterial sclerosis despite higher levels of atherosclerosis of large intracranial arteries. (author)

Physical Responses of Convective Heavy Rainfall to Future Warming Condition: Case Study of the Hiroshima Event

Directory of Open Access Journals (Sweden)

Kenshi Hibino

2018-04-01

Full Text Available An extreme precipitation event happened at Hiroshima in 2014. Over 200 mm of total rainfall was observed on the night of August 19th, which caused floods and many landslides. The rainfall event was estimated to be a rare event happening once in approximately 30 years. The physical response of this event to the change of the future atmospheric condition, which includes a temperature increase on average and convective stability change, is investigated in the present study using a 27-member ensemble experiment and pseudo global warming downscaling method. The experiment is integrated using the Japan Meteorological Research Institute non-hydrostatic regional climate model. A very high-resolution horizontal grid, 500 m, is used to reproduce dense cumulonimbus cloud formation causing heavy rainfall in the model. The future climate condition determined by a higher greenhouse gas concentration is prescribed to the model, in which the surface air temperature globally averaged is 4 K warmer than that in the preindustrial era. The total amounts of precipitation around the Hiroshima area in the future experiments are closer to or slightly lower than in the current experiments in spite of the increase in water vapor due to the atmospheric warming. The effect of the water vapor increase on extreme precipitation is found to be canceled out by the suppression of convection due to the thermal stability enhancement. The fact that future extreme precipitation like the Hiroshima event is not intensified is in contrast to the well-known result that extreme rainfall tends to be intensified in the future. The results in the present study imply that the response of extreme precipitation to global warming differs for each rainfall phenomenon.

Hematologic studies of irradiated survivors in Hiroshima, Japan. Refractory anemia occurring in survivors of the atomic bombing in Nagasaki, Japan

Energy Technology Data Exchange (ETDEWEB)

Yamasowa, Yoshimichi; Lange, R D; Wright, S W; Tomonaga, Masanobu; Kurasaki, Hirotami; Matsuoka, Shigeru; Matsunaga, Haruji

1959-01-01

This document contains 2 reports on the effects of radiation on the survivors of the atomic explosions in Hiroshima and Nagasaki. The first report is a hematologic survey conducted 33 to 44 months after the detonation of the atomic bomb in Hiroshima, Japan. The hematologic findings on a total of 824 survivors are compared with those on a control group of 1145 residents of Kure. Although statistical differences are apparent in the two groups, when one takes into account errors inherent in the hematologic methods themselves and differences in the possible incidence of parasitism and nutrition it would be unwarranted to attribute the slight changes found to radiation effect. The data presented here seem to indicate that radiation resulting from the explosion of the atomic bomb in Hiroshima, on August 6, 1945, has not significantly varied the hematologic values as analyzed in this report over a three-to four-year period. In the second report, the case histories of six Nagasaki atomic bomb survivors who developed refractory anemia are presented. Four of these individuals received undoubted radiation injury. The fact that refractory anemia may occur as a late manifestation of exposure to atomic radiation is pointed out. 15 references, 5 figures, 2 tables.

Independent older adults perspectives on oral health.

Science.gov (United States)

Khabra, K K; Compton, S M; Keenan, L P

2017-11-01

The purpose of this study was to explore oral health experiences from the perspective of older adults' living in community dwellings. The two objectives of this study were to identify facilitators and barriers to oral health care, and to determine how utilization of oral health services compares to utilization of other healthcare services. An interpretive descriptive methodology was employed with a purposive sample of 12 adults, aged 70 years or older. The inclusion criterion was English-speaking seniors residing in community dwellings. Community dwellings were defined as any housing outside of long-term care or other supportive living facilities. Semi-structured interviews were 30-80 min, audio-recorded and transcribed verbatim. Three researchers participated in the comparative analysis process to develop codes, generate categories, interpret patterns and construct themes. Three central themes surfacing from the data were as follows: life course influences on oral health, transparency in delivery of oral health services and interrelationships between oral health and overall health. Older adults in this study emphasized the value of establishing collaborative and trusting relationships between oral health practitioners and older adults. Oral health practitioners should be clear and transparent when communicating information about oral health costs and be cognizant of different circumstances from childhood to older adulthood that inhibit or promote routine utilization of oral health services. Including oral health services as part of interdisciplinary care teams could help promote understandings of the reciprocal relationship between oral health and general health and improve oral health status for older adults. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Hiroshima. History and topicality of the atomic threat. Baseline material and information for education

International Nuclear Information System (INIS)

Verfuss, K.; Wunderer, H.

1995-01-01

Hiroshima is an important topic for education, not only in history and social sciences classes, but just as well for courses in German, ethics, religion, and in the natural sciences. The material has been compiled to serve as an information source both for specific subjects and for interdisciplinary approaches, and has been arranged in compliance with the didactic principles of multiperspective approach and controversial aspects. (orig.) [de

Gardening is beneficial for adult mental health: Scottish Health Survey, 2012-2013.

Science.gov (United States)

Shiue, Ivy

2016-07-01

Gardening has been reported as being beneficial for mental well-being for vulnerable populations since 2000. However, little is known concerning its role in the general population. Therefore, the aim of the present study was to investigate the relationship of gardening and mental health in adults in a countrywide and population-based setting. Data was retrieved from and analysed in the Scottish Health Survey, 2012-2013. Information on demographics, lifestyle factors, gardening engagement, and adult mental health by General Health Questionnaire was obtained by household interview. Statistical analyses including chi-square test, t-test and survey-weighted logistic and multi-nominal regression modelling were performed. Of 9709 Scottish adults aged 16-99, 5 531 (57.0%) people did not do any gardening or building work in the last four weeks. A total of 888 (9.2%) people reported poor self-rated health. Gardening was associated with adult mental health in people both with or without heart conditions including ability to concentrate, feeling playing a useful part in things, feeling capable of making decisions, thinking of self as worthless, feeling reasonably happy, etc. General adults with or without heart conditions could benefit from engaging with gardening or building work. Future public health programmes promoting such activity should be encouraged in order to optimise adult mental health.

Month of estimated onset of leukemia in Hiroshima and Nagasaki atomic bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Nefzger, M D; Hoshino, Takashi; Itoga, Takashi; Yamada, Atsushi; Toyoda, Shigeki

1963-10-03

The monthly distribution of onset of leukemia during 1946-61 has been examined in 638 known cases among Hiroshima and Nagasaki atomic bomb survivors. Comparisons were made of sex, city, chronicity, and distance from the hypocenter. A summer excess was most prominent in the group 0-1999 m from the hypocenter, and an autumn deficiency was most consistently seen in the various subgroups. No explanation of these differences can be offered. 1 reference, 2 figures, 3 tables.

Uncertainties under emergency conditions in Hiroshima and Nagasaki in 1945 and Bikini accident in 1954

International Nuclear Information System (INIS)

Nishiwaki, Y.; Kawai, H.; Shono, N.; Fujita, S.; Matsuoka, H.; Fujiwara, S.; Hosoda, T.

2000-01-01

In exploding an atomic bomb, in addition to ionizing radiation, strong non-ionizing radiation, such as infrared, ultraviolet light, visible light, electromagnetic pulse radiation, as well as heat and shock waves are produced. The survivors and those who visited Hiroshima immediately after the atomic bombing could have been subjected to a number of other possible noxious effects in addition to atomic radiation. Hospitals, laboratories, drugstores, pharmaceutical works, storehouses of chemicals, factories, etc. that were situated close to the hypocenter were all completely destroyed and various mutagenic, carcinogenic or teratogenic substances must have been released, many doctors, nurses and chemists were killed. There was no medical care and no food in the region of high dose exposure and the drinking water was contaminated. There would have been various possibilities of infection. Mental stress would also have been much higher in the survivors closer to the hypocenter. It is confusing which factor played a dominant role. In addition, there would be problems in accurately identifying the position of the exposed persons at the time of the atomic bombing and also in estimating the shielding factors. There may be considerable uncertainty in human memory under such conditions. It is also possible that there could have been a large storage of gasoline to be used for transportation of the army corps in Hiroshima. Therefore there is a possibility that various toxic substances, mutagenic or carcinogenic agents such as benzopyrene and other radiomimetic substances, chemical weapons (Yperit, Lewisite, etc.) could have been released from various facilities which were destroyed at the time of the atomic bombing. After the German surrender, in May 1945, it was reported in June, in Japan, that the USA might attempt landing on Japan mainland, and that they might be planning massive use of chemical weapons all over Japan on that occasion. Preparing for such case chemical officers

Sexual orientation and health among U.S. adults: national health interview survey, 2013.

Science.gov (United States)

Ward, Brian W; Dahlhamer, James M; Galinsky, Adena M; Joestl, Sarah S

2014-07-15

To provide national estimates for indicators of health-related behaviors, health status, health care service utilization, and health care access by sexual orientation using data from the 2013 National Health Interview Survey (NHIS). NHIS is an annual multipurpose health survey conducted continuously throughout the year. Analyses were based on data collected in 2013 from 34,557 adults aged 18 and over. Sampling weights were used to produce national estimates that are representative of the civilian noninstitutionalized U.S. adult population. Differences in health-related behaviors, health status, health care service utilization, and health care access by sexual orientation were examined for adults aged 18-64, and separately for men and women. Based on the 2013 NHIS data, 96.6% of adults identified as straight, 1.6% identified as gay or lesbian, and 0.7% identified as bisexual. The remaining 1.1% of adults identified as ''something else,'' stated ''I don't know the answer,'' or refused to provide an answer. Significant differences were found in health-related behaviors, health status, health care service utilization, and health care access among U.S. adults aged 18-64 who identified as straight, gay or lesbian, or bisexual. NHIS sexual orientation data can be used to track progress toward meeting the Healthy People 2020 goals and objectives related to the health of lesbian, gay, and bisexual persons. In addition, the data can be used to examine a wide range of health disparities among adults identifying as straight, gay or lesbian, or bisexual. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Technical Basis for Expedited Processing of Radiation Dose Assessments for NTPR Hiroshima and Nagasaki Participants

Science.gov (United States)

2015-11-01

phenomena can include processes such as wind, rainfall runoff and infiltration, and flooding. Although soil samples taken in the area of Nishiyama...1980), weathering effects have been postulated to account for inconsistencies found in measurements of soil samples from the Nishiyama Reservoir...Processing of Radiation Dose Assessments for NTPR Hiroshima and Nagasaki Participants DISTRIBUTION A. Approved for public release; distribution is

Epidemiology of urinary tract infections in Hiroshima

Energy Technology Data Exchange (ETDEWEB)

Freedman, L R; Phair, J P; Seki, Masafumi; Hamilton, H B; Nefzger, M D

1964-08-19

The present study was conducted at ABCC on a sample of Hiroshima residents systematically seleced for determining the influence on general health status of exposure to the atomic bomb of 1945. A survey for urinary infections was taken on persons in the sample examined in the ABCC clinic over a 1-year period: approximately 3000 women and 2000 men. The purpose of the study was to determine the prevalence of urinary infection and to study the relation between bacteriuria and various aspects of the general examination, particularly blood pressure. In addition, the rates of urinary tract infection in the clinic were compared with the rates of chronic pyelonephritis at autopsy. Results showed that infections were much more common in women than in men and rose with age in both sexes. The greatest increase in the prevalence was found in women age 60 years and over was due to coliform bacteria in all but a few instances. There was no difference in hematuria, glycosuria, diabetes, serum cholesterol, blood groups, electrocardiograms, audiometry, vibrometry, hemoglobin levels or height-weight ratios. Blood pressure is higher in infected women as compared with noninfected women and the finding of higher rates for cardiac enlargement suggests that this small difference in blood pressures may have biological significance. However, the data do not permit a conclusion as to whether the urinary infections were responsible for the higher blood pressure levels, or whether the higher blood pressure levels increased the frequency of detectable infection. The difference between the clinical rates of urinary infection in men and women, and the pathological diagnosis of pyelonephritis in the same population, supports a previous suggestion that much of what is called pyelonephritis at autopsy is not due to urinary tract infection. 27 references, 2 figures, 10 tables.

Youth with special health care needs: transition to adult health care services.

Science.gov (United States)

Oswald, Donald P; Gilles, Donna L; Cannady, Mariel S; Wenzel, Donna B; Willis, Janet H; Bodurtha, Joann N

2013-12-01

Transition to adult services for children and youth with special health care needs (CYSHCN) has emerged as an important event in the life course of individuals with disabilities. Issues that interfere with efficient transition to adult health care include the perspectives of stakeholders, age limits on pediatric service, complexity of health conditions, a lack of experienced healthcare professionals in the adult arena, and health care financing for chronic and complex conditions. The purposes of this study were to develop a definition of successful transition and to identify determinants that were associated with a successful transition. The 2007 Survey of Adult Transition and Health dataset was used to select variables to be considered for defining success and for identifying predictors of success. The results showed that a small percentage of young adults who participated in the 2007 survey had experienced a successful transition from their pediatric care.

Primary liver carcinoma and liver cirrhosis in atomic bomb survivors, Hiroshima and Nagasaki, 1961-75, with special reference to HBs antigen

International Nuclear Information System (INIS)

Asano, Masahide; Kato, Hiroo; Yoshimoto, Keiko; Seyama, Shinichi; Itakura, Hideyo.

1982-03-01

During 1961-75, 128 cases of primary liver carcinoma (PLC) in the RERF Life Span Study extended sample and 301 cases of liver cirrhosis in the RERF Pathology Study sample were observed. All cases were assessed for hepatitis B surface antigen (HB sub(s) Ag) using orcein and aldehyde fuchsin staining. The incidence of PLC was 2.0 times higher in Nagasaki than in Hiroshima which was statistically significant, but the prevalence of liver cirrhosis showed hardly any difference between the two cities. Meaningful findings that may possibly explain the higher incidence of PLC in Nagasaki were that the presence of HB sub(s) Ag in the liver of patients without overt liver disease was 2.3 times higher in Nagasaki than in Hiroshima, and the prevalence of liver cirrhosis associated with PLC, especially that of posthepatitic cirrhosis with PLC, was almost 2.0 times higher in Nagasaki than in Hiroshima. In both cities a suggestive relationship of radiation dose with the prevalence of liver cirrhosis was noted but not with PLC. We believe that the higher incidence of PLC in Nagasaki is attributable to HB virus infection, though other factors, such as immunological competence affected by radiation, cannot be excluded. (author)

Hiroshima - Monday August 6, 1945, 8h15 a.m

International Nuclear Information System (INIS)

Hersey, John; Belmont, Georges; Haas, Pascale

2011-01-01

On 6 August 1945 at 8.15 a.m., Hiroshima was destroyed by the first atom bomb ever dropped on a city, killing one hundred thousand men, women and children in its white fury. This book, John Hersey's journalistic masterpiece, tells what happened on that day. Told through the memories of six civilians who survived against the odds, this timeless, powerful and compassionate document tells the moments that have preceded and followed the atomic explosion. John Hersey's spare, devastating report on the attack was first published in the New Yorker in 1946. Written in the immediate aftermath of the disaster, it is a classic piece of journalism, and a defining moment of the nuclear age

Plutonium characteristics in sediments of Hiroshima Bay in the Seto Inland Sea in Japan

International Nuclear Information System (INIS)

Zhiyong Liu; National Institute of Radiological Sciences, Chiba; Jian Zheng; Masatoshi Yamada; Hirosaki University, Hirosaki, Aomori; Shaoming Pan; Hodaka Kawahata

2011-01-01

Sediment core samples were collected from Hiroshima Bay in the Seto Inland Sea, western Northwest Pacific Ocean, and their 239+240 Pu activities and 240 Pu/ 239 Pu atom ratios were determined by sector field ICP-MS. The activities of 239+240 Pu ranged from 0.556 ± 0.025 to 0.745 ± 0.023 mBq/g. The atom ratios of 240 Pu/ 239 Pu were almost constant within the whole depth; the average value was 0.227 ± 0.014. This atom ratio was significantly higher than the mean global fallout ratio of 0.18, proving the presence of close-in fallout Pu that originated from the Pacific Proving Ground (PPG). The water masses exchanges between the Kuroshio Current and the Seto Inland Sea brought the PPG source Pu to this area, then Pu was extensively scavenged into sediment particles supplied by the rivers around the bay. The relative contributions of the global fallout Pu and the PPG close-in fallout Pu were evaluated by the two end-member mixing model. The contribution of the PPG close-in fallout was 38-41% of the total Pu in sediment. The remaining 59-62% was attributed to direct global fallout and the land-origin Pu transported by the rivers around the Hiroshima Bay. (author)

Whole-blood phagocytic and bactericidal activities of atomic bomb survivors, Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Sasagawa, Sumiko; Yoshimoto, Yasuhiko; Toyota, Emiko; Neriishi, Shotaro; Yamakido, Michio; Matsuo, Miyo; Hosoda, Yutaka; Finch, S.C.

1989-04-01

This in vitro study evaluated the phagocytic and bactericidal activities of leukocytes in aliquots of whole blood from Hiroshima and Nagasaki atomic bomb survivors for Staphylococcus aureus. The data were analyzed by multiple linear regression. Any significant effects of exposure to A-bomb radiation could not be detected for both phagocytic and bactericidal activities of whole blood from A-bomb survivors. In addition, there were no significant effects of age categories, sex or city, except in neutrophil counts. (J.P.N.)

Seeing Health Insurance and HealthCare.gov Through the Eyes of Young Adults.

Science.gov (United States)

Wong, Charlene A; Asch, David A; Vinoya, Cjloe M; Ford, Carol A; Baker, Tom; Town, Robert; Merchant, Raina M

2015-08-01

We describe young adults' perspectives on health insurance and HealthCare.gov, including their attitudes toward health insurance, health insurance literacy, and benefit and plan preferences. We observed young adults aged 19-30 years in Philadelphia from January to March 2014 as they shopped for health insurance on HealthCare.gov. Participants were then interviewed to elicit their perceived advantages and disadvantages of insurance and factors considered important for plan selection. A 1-month follow-up interview assessed participants' plan enrollment decisions and intended use of health insurance. Data were analyzed using qualitative methodology, and salience scores were calculated for free-listing responses. We enrolled 33 highly educated young adults; 27 completed the follow-up interview. The most salient advantages of health insurance for young adults were access to preventive or primary care (salience score .28) and peace of mind (.27). The most salient disadvantage was the financial strain of paying for health insurance (.72). Participants revealed poor health insurance literacy with 48% incorrectly defining deductible and 78% incorrectly defining coinsurance. The most salient factors reported to influence plan selection were deductible (.48) and premium (.45) amounts as well as preventive care (.21) coverage. The most common intended health insurance use was primary care. Eight participants enrolled in HealthCare.gov plans: six selected silver plans, and three qualified for tax credits. Young adults' perspective on health insurance and enrollment via HealthCare.gov can inform strategies to design health insurance plans and communication about these plans in a way that engages and meets the needs of young adult populations. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Spatial analysis of 4,5-dichloro-2-n-octyl-4-isothiazolin-3-one (Sea-Nine 211) concentrations and probabilistic risk to marine organisms in Hiroshima Bay, Japan

International Nuclear Information System (INIS)

Mochida, Kazuhiko; Hano, Takeshi; Onduka, Toshimitsu; Ichihashi, Hideki; Amano, Haruna; Ito, Mana; Ito, Katsutoshi; Tanaka, Hiroyuki; Fujii, Kazunori

2015-01-01

We analyzed the spatial distribution of an antifouling biocide, 4,5-dichloro-2-n-octyl-4-isothiazolin-3-one (Sea-Nine 211) in the surface water and sediments of Hiroshima Bay, Japan to determine the extent of contamination by this biocide. A quantitative estimate of the environmental concentration distribution (ECD) and species sensitivity distributions (SSDs) for marine organisms were derived by using a Bayesian statistical model to carry out a probabilistic ecological risk analysis, such as calculation of the expected potentially affected fraction (EPAF). The spatial distribution analysis supported the notion that Sea-Nine 211 is used mainly for treatment of ship hulls in Japan. The calculated EPAF suggests that approximately up to a maximum of 0.45% of marine species are influenced by the toxicity of Sea-Nine 211 in Hiroshima Bay. In addition, estimation of the ecological risk with a conventional risk quotient method indicated that the risk was a cause for concern in Hiroshima Bay. - Highlights: • Spatial distribution analysis exhibits the dynamics of Sea-Nine 211 in Hiroshima Bay. • Probabilistic ecological risk of the biocide was estimated with a Bayesian approach. • Approximately up to 0.45% of marine species were possibly influenced by the toxicity. • The risk analysis concludes that Sea-Nine 211 should be a priority for further work. - Spatial distribution of an antifouling biocide and quantification of its ecological risk were elucidated

Oral Health and Older Adults

Centers for Disease Control (CDC) Podcasts

2008-10-27

This podcast discusses the importance of older adults maintaing good oral health habits. It is primarily targeted to public health and aging services professionals.  Created: 10/27/2008 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 10/27/2008.

Mortality of Hiroshima A-bomb survivors exposed at the black rain region

International Nuclear Information System (INIS)

Satoh, Kenichi; Otani, Keiko; Tonda, Tetsuji

2012-01-01

An epidemiological study was performed on the black rain as a death risk factor of survivors in Hiroshima Uda's (U) light to heavy black rain regions using the positional parameters at their exposure. Subjects were 27,610 A-bomb survivors at Jan. 1, 1970 with known positional coordinate and direct dose at explosion, followed until Dec. 31, 2009, whose endpoint was defined to be their all deaths due to cardiovascular, cerebrovascular diseases, pneumonia, cancers, etc. Confounding factors were sex (11,457 males/16,153 females), age at exposure (av. 25 y) and dose (av. 0.045 Gy), with which analysis was done by Cox proportional hazard model. The confounding interaction of the age/U region was found significant: e.g., at the exposed age 25 y, the hazard ratio was calculated to be 1.084, indicating about 8% higher hazard ratio of U region than the area outside of U. When the effect of the sex, exposed age and direct dose were adjusted to be minimized, the risk was found distributed mainly in concentric circle from hypocenter, yet still the effect of indirect exposure was observed though. When the distance instead of the indirect dose was used as an explanatory variable, it resulted in being significant with no significance of the direct exposure dose. Risk map employing the positional information at explosion revealed that the risk distribution was locally different even in U region itself. Thus this study suggested that the black rain was a mortality risk factor in the U raining region of Hiroshima. (T.T.)

Ophthalmology programs at ABCC. A brief review and preliminary plan

Energy Technology Data Exchange (ETDEWEB)

Finch, S C; Jablon, S

1961-07-19

A proposal is made for a continuing ophthalmology program for exposed and control subjects at Nagasaki and Hiroshima. This program is based on a fixed population selected from the PE-86 and the ME-200 Adult Health Study samples. 27 references, 4 tables.

ABCC-JNIH pathology studies, Hiroshima and Nagasaki. Report No. 1, October 1950-September 1962

Energy Technology Data Exchange (ETDEWEB)

Angevine, D M; Jablon, S; Matsumoto, Y S

1963-06-11

The report describes a study of autopsies of persons in Hiroshima and Nagasaki. The factors influencing selection for autopsy were analyzed. The objective was to endow the autopsy program with a high degree of statistical control. The degree of correlation between death certificate diagnoses and the autopsy anatomic diagnoses was determined. The effects of the degree of exposure to radiation on different disease groups, with special emphasis on malignant tumors, was ascertained. 14 references, 22 tables. (ACR)

Exploring Older Adults' Health Information Seeking Behaviors

Science.gov (United States)

Manafo, Elizabeth; Wong, Sharon

2012-01-01

Objective: To explore older adults' (55-70 years) health information-seeking behaviors. Methods: Using a qualitative methodology, based on grounded theory, data were collected using in-depth interviews. Participants were community-living, older adults in Toronto, Canada who independently seek nutrition and health information. Interview transcripts…

Inventory of ABCC-RERF autopsies Hiroshima and Nagasaki, 1948-1980

International Nuclear Information System (INIS)

1983-10-01

This is the fourth inventory of ABCC-RERF autopsies which covers those performed from 1948-80 (the other three inventories). For general information the introduction of the third inventory (1948-70) is included with some modification, and deaths and autopsy rates for 1971-80 are added. ABCC-RERF performed 10,096 autopsies (6,555 in Hiroshima and 3,541 in Nagasaki) from 1948 to 1980. Protocols, tissues, sections, smears, etc., assembled by the collaborating institutions were examined by members of the ABCC Department of Pathology who completed ABCC records for each case. Copies of all protocols, gross tissues, and histological sections were placed in a designated repository in the Medical School of each city where they are available to all qualified and interested investigators. (J.P.N.)

Sensitivity/uncertainty analysis for free-in-air tissue kerma due to initial radiation at Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Lillie, R.A.; Broadhead, B.L.; Pace, J.V. III

1988-01-01

Uncertainty estimates and cross correlations by range/survivor have been calculated for the Hiroshima and Nagasaki free-in-air (FIA) tissue kerma obtained from two-dimensional air/ground transport calculations. The uncertainties due to modeling parameter and basic nuclear transport data uncertainties were calculated for 700-, 1000-, and 1500-m ground ranges. Only the FIA tissue kerma due to initial radiation was treated in the analysis; the uncertainties associated with terrain and building shielding and phantom attenuation were not considered in this study. Uncertainties of --20% were obtained for the prompt neutron and secondary gamma kerma and 30% for the prompt gamma kerma at both cities. The uncertainties on the total prompt kerma at Hiroshima and Nagasaki are --18 and 15%, respectively. The estimated uncertainties vary only slightly by ground range and are fairly highly correlated. The total prompt kerma uncertainties are dominated by the secondary gamma uncertainties, which in turn are dominated by the modeling parameter uncertainties, particularly those associated with the weapon yield and radiation sources

Incidence of leukemia in a fixed cohort of atomic bomb survivors and controls, Hiroshima and Nagasaki October 1950 - December 1978

International Nuclear Information System (INIS)

Ichimaru, Michito; Ishimaru, Toranosuke; Mikami, Motoko; Yamada, Yasuaki; Ohkita, Takeshi.

1982-12-01

The present analysis of leukemia incidence is confined to 189 cases in Hiroshima and Nagasaki. The analysis again demonstrates that the risk of all types of leukemia has increased with dose in both cities except among individuals who received less than 100 rad in kerma total dose in Nagasaki. The shape of the dose-response curve is different in the two cities and between the two major types of leukemia (acute leukemia and chronic granulocytic leukemia), though the average marrow total dose is quite similar in each total kerma dose class in the two cities. The present findings are quite consistent with those described in the previous report. The excess risk among survivors who received 100 rad or more kerma total dose has gradually declined with years after exposure in both cities. It had disappeared among Nagasaki survivors by 1970 (25 years after exposure) but the risk was still high even after 1970 among exposed survivors in Hiroshima who were 30 years of age or older ATB. The leukemogenic effect of radiation differs in relation to dose, age ATB, and duration after exposure between Hiroshima and Nagasaki survivors. The analysis has again supported previous observations that the leukemogenic effect of radiation in those individuals exposed at younger ages ATB was greater in the early postbomb period and declined more rapidly in subsequent years, while the effect in older individuals ATB appeared later and persisted longer. (author)

Research plan for joint ABCC-NIH pathology studies in Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

1962-07-27

A program for the conduct of pathology studies within fixed cohorts of Hiroshima and Nagasaki A-bomb survirors is described. It is intended that the program serve as a basis for collaborative efforts by community medical institutions and organizations together with ABCC-NIH in both cities. The report describes the scope of the program, together with epidemiologic aspects of the population base and methods of case procurement, and outlines proposed studies. Detailed descriptions of autopsy protocols, surgical pathology reports, coding procedures, and other procedural and operating matters will be considered in a subsequent report. 37 references, 4 figures, 8 tables.

The digital health divide: evaluating online health information access and use among older adults.

Science.gov (United States)

Hall, Amanda K; Bernhardt, Jay M; Dodd, Virginia; Vollrath, Morgan W

2015-04-01

Innovations in health information technology (HIT) provide opportunities to reduce health care spending, improve quality of care, and improve health outcomes for older adults. However, concerns relating to older adults' limited access and use of HIT, including use of the Internet for health information, fuel the digital health divide debate. This study evaluated the potential digital health divide in relation to characteristic and belief differences between older adult users and nonusers of online health information sources. A cross-sectional survey design was conducted using a random sample of older adults. A total of 225 older adults (age range = 50-92 years, M = 68.9 years, SD = 10.4) participated in the study. Seventy-six percent of all respondents had Internet access. Users and nonusers of online health information differed significantly on age (M = 66.29 vs. M = 71.13), education, and previous experience with the health care system. Users and nonusers of online health information also differed significantly on Internet and technology access, however, a large percentage of nonusers had Internet access (56.3%), desktop computers (55.9%), and laptop computers or netbooks (43.2%). Users of online health information had higher mean scores on the Computer Self-Efficacy Measure than nonusers, t(159) = -7.29, p information. Findings suggest strategies for reducing this divide and implications for health education programs to promote HIT use among older adults. © 2014 Society for Public Health Education.

Investigating Adult Health Literacy in Tuyserkan City

Directory of Open Access Journals (Sweden)

Maryam Afshari

2014-09-01

Full Text Available Introduction: Health literacy is the capacity of individuals to obtain, process and understand basic health information and services needed to make healthy decisions. Therefore, this study was designed to determine health literacy of adults Tuyserkan district. Materials and Methods: This cross-sectional descriptive-analytical study was performed on 285 subjects aged 20-60 years attending Tuyserkan health centers through convenience sampling method in 2014. Iranian health literacy questionnaire was used to collect data. Data was analyzed using Stata-11 by Independent T-test and one way ANOVA. Results: Most participants aged 20 to 30 years (52.3% and 53.7 % were males. Most participants had postgraduate diploma level (55.8 % and were students (31.9 %. Participants had a weak level to access information (42.1%, weak level to perceive data (54.4%, moderate in judgment and assessment (64.9% and moderate in use of information (88.8%. Conclusion: Overall, there was a poor health literacy in adults. This indicates the need for more attention to health education and health promotion programs. It seems necessary to design and implement comprehensive plans using media and simple training methods for adults with a low level of health literacy.

A comparative study of oral health attitudes and behavior using the Hiroshima University-Dental Behavioral Inventory (HU-DBI) between dental and civil engineering students in Colombia.

Science.gov (United States)

Jaramillo, Jorge A; Jaramillo, Fredy; Kador, Itzjak; Masuoka, David; Tong, Liyue; Ahn, Chul; Komabayashi, Takashi

2013-03-01

The aim of this study was to use the Hiroshima University - Dental Behavioral Inventory (HU-DBI) to compare oral health attitudes and behavior of dental and civil engineering students in Colombia. The HU-DBI's survey consisting of twenty dichotomous responses (agree-disagree) regarding tooth brushing, was completed at University Antonio Narino for the dental students and the University of Cauca for the civil engineering students. The Spanish version of the HU-DBI questionnaire was taken by 182 of 247 dental students and 411 of 762 engineering students. The data was-statistically analyzed by the chi-square test and backward logistic regression. Compared to the engineering students, the dental students were more likely to agree with questions such as "I am bothered by the color of my gums"(OR = 2.2, 95% CI: 1.3-3.7),"I think I can clean my teeth well without using toothpaste" (OR = 3.0, 95% CI: 1.5-5.9), "I have used a dye to see how clean my teeth are" (OR = 2.9, 95% CI: 1.9-4.3), and "I have had my dentist tell me that I brush very well" (OR = 2.0, 95% CI: 1.3-3.1). The dental education curriculum in a dental school compared to a civil engineering school in Colombia indicated that a three-phase curriculum in didactics and clinics increased oral health attitudes and behavior from entry to graduation.

Gender Differences in Adult Health: An International Comparison.

Science.gov (United States)

Rahman, Omar; And Others

1994-01-01

Used data from United States, Jamaica, Malaysia, and Bangladesh to explore gender differences in adult health. Found that women fared worse than men across variety of self-reported health measures in all four countries. Data from Jamaica indicated that gender disparities in adult health arose early and persisted throughout the life cycle, with…

The Digital Health Divide: Evaluating Online Health Information Access and Use among Older Adults

Science.gov (United States)

Hall, Amanda K.; Bernhardt, Jay M.; Dodd, Virginia; Vollrath, Morgan W.

2015-01-01

Objective: Innovations in health information technology (HIT) provide opportunities to reduce health care spending, improve quality of care, and improve health outcomes for older adults. However, concerns relating to older adults' limited access and use of HIT, including use of the Internet for health information, fuel the digital health divide…

MARRIAGE AND MENTAL HEALTH AMONG YOUNG ADULTS

Science.gov (United States)

Uecker, Jeremy E.

2012-01-01

Marriage is widely thought to confer mental health benefits, but little is known about how this relationship may vary across the life course. Early marriage—which is non-normative—could have no, or even negative, mental health consequences for young adults. Using survey data from Waves 1 and 3 of the National Longitudinal Study of Adolescent Health (N = 11,743), I find that married young adults exhibit similar levels of psychological distress as young adults who are in any kind of romantic relationship. Married and engaged young adults report lower rates of drunkenness than others. Married young adults—especially those who first married at age 22–26—report higher life satisfaction than those in other types of relationships or no relationship at all, as well as those who married at younger ages. Explanations for these findings are examined, and their implications are discussed. PMID:22328171

A californium-252 source for radiobiological studies at Hiroshima University

International Nuclear Information System (INIS)

Kato, Kazuo; Takeoka, Seiji; Kuroda, Tokue; Tsujimura, Tomotaka; Kawami, Masaharu; Hoshi, Masaharu; Sawada, Shozo

1987-01-01

A 1.93 Ci (3.6 mg) californium-252 source was installed in the radiation facility of the Research Institute for Nuclear Medicine and Biology, Hiroshima University. This source produces fission neutrons (8.7 x 10 9 n/s at the time of its installation), which are similar to neutron spectrum of the atomic bombs. It is useful for studying biological effects of fission neutrons and neutron dosimetry. An apparatus was dosigned to accomodate this source and to apply it to such studies. It has resulted in profitable fission neutron exposures, while suppressing scattered neutrons and secondary gamma rays. This apparatus incorporates many safety systems, including one which interlocks with all of doors and an elevator serving the exposure room, so as to prevent accidents involving users. (author)

Distribution of onset of leukemia among atomic bomb survivors in the leukemia registry by dose, Hiroshima and Nagasaki, 1946-75

International Nuclear Information System (INIS)

Ishimaru, Toranosuke; Ichimaru, Michito; Mikami, Motoko; Yamada, Yasuaki; Tomonaga, Yuu.

1982-03-01

The data from the RERF Leukemia Registry for the years 1946-75 were used to determine the distribution of onset of acute leukemia and chronic granulocytic leukemia among atomic bomb survivors in relation to city, dose, and age at the time of the bomb (ATB). A total of 509 confirmed leukemia cases (297 in Hiroshima and 212 in Nagasaki) have occurred among A-bomb survivors in the open populations of these cities in these years. Analysis revealed that the onset of both acute leukemia and chronic granulocytic leukemia tends to shift to earlier years with increasing dose in Hiroshima, but in Nagasaki, although the onset of both types of leukemia was earlier in the high dose group than in the low dose or control groups, the latter two groups did not differ. The distribution of onset of acute leukemia in the three dose groups also depended upon age ATB. While the distribution of onset of acute leukemia among those survivors whose age ATB was less than 30 differed significantly in the three dose classes, this tendency was not observed among those individuals whose age ATB was 30 years or more. For chronic granulocytic leukemia, the onset was shifted to earlier years in the high dose group than in the control group regardless of age ATB in Hiroshima. These findings support the pattern of leukemogenesis observed in A-bomb survivors in the Life Span Study sample, a fixed cohort, in relation to city, dose, age ATB, and years after exposure. (author)

NIHSeniorHealth: a free tool for online health information for older adults.

Science.gov (United States)

Linares, Brenda M

2013-01-01

NIHSeniorHealth is a free, consumer health website that covers health topics affecting older adults. The website was created and is maintained by the National Library of Medicine (NLM) and features more than 55 health topics and nearly 150 videos. The easy-to-use navigational and visual tools create a user-friendly experience for older adults, their families, and caregivers who seek senior-specific information on the web. This column will include an overview of the website, a simple search, and a review of the features of NIHSeniorHealth.

Investing in the health and well-being of young adults.

Science.gov (United States)

Stroud, Clare; Walker, Leslie R; Davis, Maryann; Irwin, Charles E

2015-02-01

Contrary to popular perception, young adults-ages approximately 18-26 years-are surprisingly unhealthy. They are less healthy than adolescents, and they also show a worse health profile than those in their late 20s and 30s. The Affordable Care Act provisions to extend coverage for young adults are well known, and some states had already been pursuing similar efforts before the Affordable Care Act was enacted. These initiatives have resulted in important gains in young adults' heath care coverage. However, too little attention has been paid to the care that young adults receive once they are in the system. Given young adults' health problems, this is a critical omission. The Institute of Medicine and National Research Council recently released a report titled Investing in the Health and Well-Being of Young Adults. The report concludes that young adulthood is a critical developmental period and recommends that young adults ages 18-26 years be treated as a distinct subpopulation in policy, planning, programming, and research. The report also recommends action in three priority areas to improve health care for young adults: improving the transition from pediatric to adult medical and behavioral health care, enhancing preventive care for young adults, and developing evidence-based practices. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Social networks, health promoting-behavior, and health-related quality of life in older Korean adults.

Science.gov (United States)

Hong, Minjoo; De Gagne, Jennie C; Shin, Hyewon

2018-03-01

In this cross-sectional, descriptive study, we compared the sociodemographic characteristics, social networks, health-promoting behavior, and the health-related quality of life of older Korean adults living in South Korea to those of older Korean adult immigrants living in the USA. A total of 354 older adults, aged 65 years or older, participated. Data were collected through self-directed questionnaires, and analyzed using a two way analysis of variance, t-tests, χ 2 -tests, and Pearson's correlation coefficient. The association between four sociodemographic characteristics and health-related quality of life was significantly different between the two groups. For the older Korean adults living in South Korea, positive correlations existed between a measure of their social networks and both health-promoting behavior and health-related quality of life. For the older Korean immigrants, the findings revealed a positive correlation only between social networks and health-promoting behavior. The study findings support the important association social networks can have with health-related quality of life, and their possible relationship to health-promoting behaviors of older Korean adults. We suggest that health policy-makers and healthcare providers develop comprehensive programs that are designed to improve older adults' social networks. © 2017 John Wiley & Sons Australia, Ltd.

Tracking Psychosocial Health in Adults with Epilepsy—Estimates from the 2010 National Health Interview Survey

Science.gov (United States)

Kobau, R; Cui, W; Kadima, N; Zack, MM; Sajatovic, M; Kaiboriboon, K; Jobst, B

2015-01-01

Objective This study provides population-based estimates of psychosocial health among U.S. adults with epilepsy from the 2010 National Health Interview Survey. Methods Multinomial logistic regression was used to estimate the prevalence of the following measures of psychosocial health among adults with and those without epilepsy: 1) the Kessler-6 scale of Serious Psychological Distress; 2) cognitive limitation; the extent of impairments associated with psychological problems; and work limitation; 3) Social participation; and 4) the Patient Reported Outcome Measurement Information System Global Health scale. Results Compared with adults without epilepsy, adults with epilepsy, especially those with active epilepsy, reported significantly worse psychological health, more cognitive impairment, difficulty in participating in some social activities, and reduced health-related quality of life (HRQOL). Conclusions These disparities in psychosocial health in U.S. adults with epilepsy serve as baseline national estimates of their HRQOL, consistent with Healthy People 2020 national objectives on HRQOL. PMID:25305435

Doses to early entrants to the A-bombed areas and to residents of the fallout areas and 137Cs in soil of the 'black rain' area in Hiroshima

International Nuclear Information System (INIS)

Takeshita, Kenji

1976-01-01

An external exposure dose from residual activity (induced radioactivity in the fallout areas and radioactive fallout in the ''black rain'' area) caused by an atomic bomb in Hiroshima was estimated. The integrated doses to the infinite time averaged 101 rads in the atomic bombed area of Hiroshima and 32 rads in that area of Nagasaki. According to the measurement by investigators, the integrated doses of the external exposure dose due to radioactive fallout averaged 13 rads. The amount of 137 Cs in soils was determined in the southest slanting surface

An examination of electronic health information privacy in older adults.

Science.gov (United States)

Le, Thai; Thompson, Hilaire; Demiris, George

2013-01-01

Older adults are the quickest growing demographic group and are key consumers of health services. As the United States health system transitions to electronic health records, it is important to understand older adult perceptions of privacy and security. We performed a secondary analysis of the Health Information National Trends Survey (2012, Cycle 1), to examine differences in perceptions of electronic health information privacy between older adults and the general population. We found differences in the level of importance placed on access to electronic health information (older adults placed greater emphasis on provider as opposed to personal access) and tendency to withhold information out of concerns for privacy and security (older adults were less likely to withhold information). We provide recommendations to alleviate some of these privacy concerns. This may facilitate greater use of electronic health communication between patient and provider, while promoting shared decision making.

Infusing Adult Education Principles Into a Health Insurance Literacy Program.

Science.gov (United States)

Brown, Virginia

2018-03-01

Health insurance literacy is an emerging concept in the health education and health promotion field. The passage of the Affordable Care Act highlighted the link between health insurance and health outcomes. However, the law does not specifically address how the public should be educated on choosing an appropriate health insurance plan. Research shows adults, regardless of previous health insurance status, are likely confused and uncertain about their selection. The University of Maryland Extension developed and created health insurance Smart Choice Health Insurance™ to reduce confusion and increase confidence and capability to make this decision. Andragogy, an adult learning theory, was used to guide the development of the program and help ensure best practices are used to achieve desired outcomes. Using the six principles of andragogy, the team incorporated reality-based case studies, allowed adults time to practice, and emphasized choice making and many other elements to create an atmosphere conducive to adult learning. Results from Smart Choice indicate the program is successful in reducing confusion and increasing confidence. Furthermore, feedback from participants and trained educators indicates that adults were engaged in the program and found the materials useful. Based on program success, creation of new health insurance literacy programs grounded in adult education principles is under way.

Becoming Adult from the Perspective of Psychological Health

Directory of Open Access Journals (Sweden)

Nilay Pekel Uludagli

2017-09-01

Full Text Available In the transition from adolescence to adulthood, individuals are expected to undertake a variety of role transitions. The adult roles and their contents have begun to change for both genders as a part of social, economic and cultural changes in the world. As women began to join to the work force more, men’s involvement in family life and childcare increased. Although having multiple roles causes conflict between the roles for both genders nowadays, being married and having children still seem to be related to better psychological health for today’s early adults. However, these positive effects of marriage disappear in conflicting and unhappy marriages; and these marriages, on the contrary, damage the health of individuals. In addition to the content, the timing of the roles is also related to the psychological health of individuals. As adults who undertake the roles early have a disadvantaged position in terms of psychological health, marital and family relations, on the other hand, adults who undertake these roles on-time and lately have better psychological health and life conditions. The aim of this review is to assess the effects of undertaking adult roles and its timing on individuals’ psychological health in today’s societies. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2017; 9(3.000: 263-283

Oral health-related quality of life in Swedish young adults

Directory of Open Access Journals (Sweden)

Gunvi Johansson

2015-06-01

Full Text Available The living conditions of young adults in Sweden have changed during the last decades due to the economic and employment situation in society. Although oral health is mainly considered to be good in this age group, their use of dental care has decreased and their priorities and opportunities regarding oral health are little known. The purpose of this study was to describe the views of Swedish young adults on their oral health and oral health-related quality of life (OHRQoL. The design of the study was qualitative, using content analysis. Sixteen young adults, aged 21–29 years, were interviewed. The findings from the interviews were summarized under the theme “Young adults reflected on their OHRQoL in a time perspective” consisting of three categories: “Past experiences, Present situation, and Future prospects.” The OHRQoL of young adults is dependent not only on their own experiences of oral health during childhood and their received dental care but also on their present self-perceived oral health, oral health habits, and social life; together with their expectations of future oral health. The findings in this study indicate that the oral health awareness and needs of young adults, as well as their expectations of oral care, merit further follow-up.

Growth and development studies Hiroshima and Nagasaki: research plan

Energy Technology Data Exchange (ETDEWEB)

Finch, S C; Jablon, S; Hrubec, Zdenek

1962-03-21

This report summarizes the research plan for prospective evaluation of growth and development in those exposed to varying amounts of ionizing radiation during childhood or while in utero in Hiroshima or Nagasaki. Some experimental observations are briefly presented to provide background information, and the results of previous studies of growth and development at the Atomic Bomb Casualty Commission (ABCC) are reviewed. Procedures have been described for determining the top of the growth curve for the in utero exposed and the maximum growth and development of those exposed during childhood in comparison to their nonexposed counterparts. Differences in growth and development found between exposed and nonexposed individuals will be analysed in relation to radiation dose, age at time of exposure, sex, and socioeconomic factors. Attempts will be made to determine whether or not abnormalities in visual acuity are increased in those exposed while in utero or during childhood as compared to nonexposed or comparable ages. 23 references, 2 tables.

Audiometric changes with age in Hiroshima: a statistical study

Energy Technology Data Exchange (ETDEWEB)

Hollingsworth, J W; Ishii, Goro

1960-10-01

Audiometry observations were analyzed for 290 irradiated survivors of the 1945 atomic bomb in Hiroshima and in 293 nonirradiated subjects. The study was undertaken in order to determine the age changes in audiology in irradiated and nonirradiated subjects as well as to investigate the pattern of hearing levels in a Japanese population for comparison with patterns in Caucasians. The following statistical observations were made. Correlation between hearing levels for right and left ear. Correlation between hearing levels at various cycles. Changes in hearing levels by age and sex. The relation between age and decibel loss was not linear and correlation ratios with age were 0.45 to 0.72. Audiometry seems to be of some value as one of a battery of tests of physiologic aging designed for detection of irradiation induced nonspecific aging acceleration. In this relatively small sample, no differences in hearing acuity were detected in the atomic bomb survivors as compared with the control sample. 6 references, 3 figures, 9 tables.

Domestic violence and mental health in older adults.

Science.gov (United States)

Knight, Lucy; Hester, Marianne

2016-10-01

Domestic violence affects every age group and is present throughout the life span, but, while the mental health impact of domestic violence is clearly established in working age adults, less is known about the nature and impact of domestic violence among older adults. This review, therefore, aimed to synthesize findings on the prevalence, nature, and impact of domestic violence among older adults, and its identification and management. Electronic searches were conducted of Medline, PsycINFO, Cinahl, and Embase to identify studies reporting on the mental health and domestic violence in older adults. Findings suggested that, although prevalence figures are variable, the likely lifetime prevalence for women over the age of 65 is between 20-30%. Physical abuse is suggested to decrease with age, but rates of emotional abuse appear to be stable over the lifespan. Among older adults, domestic violence is strongly associated with physical and mental health problems, and the scarce research comparing the impact of domestic violence across the age cohorts suggests that the physical health of older victims may be more severely affected than younger victims. In contrast, there is evidence that older victims may experience less psychological distress in response to domestic violence than younger victims. Internationally, evidence on the management of domestic violence in older adults is sparse. Findings suggest, however, that identification of domestic violence is poor among older adults, and there are very limited options for onwards referral and support.

Health Literacy in Older Adults

Centers for Disease Control (CDC) Podcasts

2011-09-20

In this podcast, Dr. Lynda Anderson, former Director of CDC’s Healthy Aging Program, discusses the importance of improving health literacy among older adults.  Created: 9/20/2011 by Office of the Associate Director for Communication (OADC), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 9/20/2011.

Social, Economic, and Health Disparities Among LGBT Older Adults.

Science.gov (United States)

Emlet, Charles A

2016-01-01

LGBT older adults are a heterogeneous population with collective and unique strengths and challenges. Health, personal, and economic disparities exist in this group when compared to the general population of older adults, yet subgroups such as transgender and bisexual older adults and individuals living with HIV are at greater risk for disparities and poorer health outcomes. As this population grows, further research is needed on factors that contribute to promoting health equity, while decreasing discrimination and improving competent service delivery.

Mental health literacy in korean older adults: A cross-sectional survey.

Science.gov (United States)

Kim, Y S; Lee, H Y; Lee, M H; Simms, T; Park, B H

2017-09-01

WHAT IS KNOWN ON THE SUBJECT?: Mental health literacy is a fairly new concept, first introduced in 1997. It refers to what people know and believe about mental health disorders. People's knowledge and beliefs help them to recognize, manage and prevent mental disorders. Generally, older adults have lower health literacy compared to young and middle-aged adults. WHAT THIS STUDY ADDS TO EXISTING KNOWLEDGE?: This is the first study on the mental health literacy of Korean older adults. This study looks beyond peoples' ability to recognize mental health disorders and their opinions about them. It identifies factors that are associated with mental health literacy (level of education and social support, the number of people in one's social circles and how individuals rate their health). WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Older adults might get more out of mental health literacy programmes in group or social settings. Programmes that use older adult peer educators/supporters, such as the "older people's champions" of the Healthy Passport programme in England, might make the programmes more effective. Mental health campaigns, such as Australia's beyondblue, might increase mental health literacy of older adults. Introduction Korea is experiencing rapid population ageing, spurring an increased need for mental health services for the elderly. Approximately one-third of Korean older adults experience depressive symptoms, and Korea has the highest elder suicide rate among 34 developed nations. Mental health literacy is an important component of promoting mental health, yet studies on the concept have been conducted in few countries. Aim This study examines the level of mental health literacy among Korean older adults and identifies factors associated with their mental health literacy. Method A cross-sectional survey was conducted with 596 community-dwelling Korean adults aged 65 and older. Andersen's Behavioral Model of Health Services Use framed the study. Results Overall

Health, family strains, dependency, and life satisfaction of older adults.

Science.gov (United States)

Chokkanathan, Srinivasan; Mohanty, Jayashree

2017-07-01

Using stress process theory and structural equation modelling, this study investigated the complex relationship between health status, family strain, dependency, and the life satisfaction of rural older adults with reported functional impairments in India. Data were extracted from a large-scale study of 903 randomly selected adults aged 61 years and older from 30 rural clusters of India. The sample for this study was confined to 653 older adults who reported functional impairments. Structural equation modelling showed that poor health status indirectly lowered the life satisfaction of older adults through family strains. Moreover, poor health status also indirectly influenced life satisfaction through dependency and family strain (poor health→dependency→family strains→life satisfaction). The findings indicate that for professionals who deal with the health of older adults, exploring relationship strains and dependency is vital to the assessment and intervention of subjective wellbeing. Inter-sectoral coordination and communication between healthcare and social service agencies might facilitate effective management of health problems among older adults. Moreover, taking family strains and dependency into account when caring for older adults with health problems is critical to help improve their quality of life and maintain their wellbeing. Copyright © 2017 Elsevier B.V. All rights reserved.

The use of e-health and m-health tools in health promotion and primary prevention among older adults: a systematic literature review.

Science.gov (United States)

Kampmeijer, Ramon; Pavlova, Milena; Tambor, Marzena; Golinowska, Stanisława; Groot, Wim

2016-09-05

The use of e-health and m-health technologies in health promotion and primary prevention among older people is largely unexplored. This study provides a systematic review of the evidence on the scope of the use of e-health and m-health tools in health promotion and primary prevention among older adults (age 50+). A systematic literature review was conducted in October 2015. The search for relevant publications was done in the search engine PubMed. The key inclusion criteria were: e-health and m-health tools used, participants' age 50+ years, focus on health promotion and primary prevention, published in the past 10 years, in English, and full-paper can be obtained. The text of the publications was analyzed based on two themes: the characteristics of e-health and m-health tools and the determinants of the use of these tools by older adults. The quality of the studies reviewed was also assessed. The initial search resulted in 656 publications. After we applied the inclusion and exclusion criteria, 45 publications were selected for the review. In the publications reviewed, various types of e-health/m-health tools were described, namely apps, websites, devices, video consults and webinars. Most of the publications (60 %) reported studies in the US. In 37 % of the publications, the study population was older adults in general, while the rest of the publications studied a specific group of older adults (e.g. women or those with overweight). The publications indicated various facilitators and barriers. The most commonly mentioned facilitator was the support for the use of the e-health/m-health tools that the older adults received. E-health and m-health tools are used by older adults in diverse health promotion programs, but also outside formal programs to monitor and improve their health. The latter is hardly studied. The successful use of e-health/m-health tools in health promotion programs for older adults greatly depends on the older adults' motivation and support

Hiroshima Diary - August 6-September 30, 1945

International Nuclear Information System (INIS)

Hachiya, Michihiko; Duran, Simon

2011-01-01

Michihiko Hachiya was director of the Hiroshima Communications Hospital when the world's first atomic bomb was dropped on the city. Though his responsibilities in the appalling chaos of a devastated city were awesome, he found time to record the story daily, with compassion and tenderness. Hachiya's diary covers the period from Aug. 6, 1945 to Sept. 30, 1945. He described the effects of the atomic bomb blast from its first flash in the early morning as he rested from his night shift as an air warden at the hospital. The force of the blast stripped all the clothes from his body but he and his wife survived, however they both received serious burns to their bodies and had to journey to the hospital Michihiko worked at. He spent the night in the care of the hospital staff who were not seriously injured and started making his daily rounds that he would have normally made as a doctor. As time passes an understanding of what hit their city clears up, and historical events such as the surrender of Japan are brought up. The condition of the hospital also drastically improves as more medical supplies are brought into the city, allowing them to better treat patients

Subjective Oral Health in Dutch Adults

Directory of Open Access Journals (Sweden)

Gijsbert H.W. Verrips

2013-05-01

Full Text Available Aim: To determine whether the subjective oral health (SOH of the Dutch adult population was associated with clinical and demographic variables. Methods: A clinical examination was conducted in a sample of 1,018 people from the Dutch city of ‘s-Hertogenbosch. SOH was measured using the Dutch translation of the short form of the Oral Health Impact Profile (OHIP-NL14. Results: The average score on the OHIP-NL14 was 2.8 ± 5.9 and 51% of the respondents had a score of 0. Dental status was the most important predictor of SOH. Conclusions:  The SOH in the Dutch adult population was much better than in groups of adults in Australia, the United Kingdom and New Zealand. Nevertheless, there were important variations in SOH related to dental and socio-economic status.

Tissue kerma vs distance relationships for initial nuclear radiation from the atomic devices detonated over Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Kerr, G.D.; Pace, J.V. III; Scott, W.H. Jr.

1983-06-01

Initial nuclear radiation is comprised of prompt neutrons and prompt primary gammas from an exploding nuclear device, prompt secondary gammas produced by neutron interactions in the environment, and delayed neutrons and delayed fission-product gammas from the fireball formed after the nuclear device explodes. These various components must all be considered in establishing tissue kerma vs distance relationships which describe the decrease of initial nuclear radiation with distance in Hiroshima and in Nagasaki. The tissue kerma at ground evel from delayed fission-product gammas and delayed neutrons was investigated using the NUIDEA code developed by Science Applications, Inc. This code incorporates very detailed models which can take into account such features as the rise of the fireball, the rapid radioactive decay of fission products in it, and the perturbation of the atmosphere by the explosion. Tissue kerma vs distance relationships obtained by summing results of these current state-of-the-art calculations will be discussed. Our results clearly show that the prompt secondary gammas and delayed fission-product gammas are the dominant components of total tissue kerma from initial nuclear radiation in the cases of the atomic (or pure-fission) devices detonated over Hiroshima and Nagasaki

Potential for intensive volunteering to promote the health of older adults in fair health.

Science.gov (United States)

Barron, Jeremy S; Tan, Erwin J; Yu, Qilu; Song, Meilin; McGill, Sylvia; Fried, Linda P

2009-07-01

Volunteer service opportunities for older adults may soon be expanded. Although volunteering is thought to provide health benefits for healthier older adults, it is not known whether older adults in less than very good health are suitable candidates for high-intensity volunteering and can derive health benefits. This manuscript presents a prospective analysis of 174 older adult volunteers serving in Experience Corps Baltimore, a high-intensity senior volunteer program in Baltimore, Maryland. Volunteers served > or =15 h per week, for a full school year, in elementary schools helping children with reading and other skills between 1999 and 2002. Volunteers were assessed with standardized questionnaires and performance-based testing including grip strength, walking speed, chair stand speed, and stair-climbing speed prior to school volunteering and at the end of the school year. Results were stratified by health status. Among 174 volunteers, 55% initially reported "good" and 12% "fair" or "poor" health status. At baseline, those in fair health reported higher frequencies of disease and disability than volunteers in excellent or very good health. After volunteering, a majority of volunteers in every baseline health status category described increased strength and energy. Those in fair health were significantly more likely to display improved stair-climbing speed than those in good or excellent/very good health (100.0% vs. 53.4% vs. 37.5%, p = 0.05), and many showed clinically significant increases in walking speed of >0.5 m/s. Satisfaction and retention rates were high for all health status groups. Clinicians should consider whether their patients in fair or good health, as well as those in better health, might benefit from high-intensity volunteer programs. Productive activity such as volunteering may be an effective community-based approach to health promotion for older adults.

Change in health status and access to care in young adults with special health care needs: results from the 2007 national survey of adult transition and health.

Science.gov (United States)

Okumura, Megumi J; Hersh, Aimee O; Hilton, Joan F; Lotstein, Debra S

2013-04-01

Despite over 500,000 adolescents with special health care needs transitioning to adulthood each year, limited information is available on their health status or their access to care after transition. To describe the change in health status and access to care of a nationally sampled, longitudinal cohort of young adults with special health care needs (ASHCN). We analyzed follow-up data collected in the 2007 Survey of Adult Transition and Health on young adults who were 14-17 years of age when their parents participated in the 2001 National Survey of Children with Special Health Care Needs. We describe changes in access to care and health status over time, and used logistic regression to identify characteristics that were associated with declining health status in this cohort. 1,865 participants, aged 19-23 years, completed the Survey of Adult Transition and Health. Between 2001 and 2007, there was a 3.6 fold increase in the proportion experiencing delayed or forgone care; 10% reported a decline in health status. There was a 7.7-fold increase in the proportion reporting no insurance. In regression analysis, factors associated with declining health status between 2001 and 2007 included underlying disease severity and delayed or forgone care in young adulthood. We found significant deterioration in insurance coverage, usual source of care and receiving timely health care as ASHCN aged into adulthood, and that this was associated with decline in health status. Our findings suggest that further population-based analyses of health outcomes are needed to plan for interventions to assist this vulnerable population. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Dimensions of self-rated health in older adults

Directory of Open Access Journals (Sweden)

Flávia Silva Arbex Borim

2014-10-01

Full Text Available OBJECTIVE To analyze the association between negative self-rated health and indicators of health, wellbeing and sociodemographic variables in older adults. METHODS Cross-sectional study that used data from a population-based health survey with a probability cluster sample that was carried out in Campinas, SP, Southeastern Brazil,, in 2008 and 2009. The participants were older adults (≥ 60 years and the dependent variable was self-rated health, categorized as: excellent, very good, good, bad and very bad. The adjusted prevalence ratios were estimated by means of Poisson multiple regression. RESULTS The highest prevalences of bad/very bad self-rated health were observed in the individuals who never attended school, in those with lower level of schooling, with monthly per capita family income lower than one minimum salary. Individuals who scored five or more in the physical health indicator also had bad self-rated health, as well as those who scored five or more in the Self-Reporting Questionnaire 20 and those who did not refer feeling happiness all the time. CONCLUSIONS The independent effects of material life conditions, physical and mental health and subjective wellbeing, observed in self-rated health, suggest that older adults can benefit by health policies supported by a global and integrative view of old age.

Air-over-ground calculations of the neutron, prompt, and secondary-gamma free-in-air tissue kerma from the Hiroshima and Nagasaki devices

International Nuclear Information System (INIS)

Pace, J.V. III; Knight, J.R.; Bartine, D.E.

1982-01-01

This paper reports preliminary results of the two-dimensional discrete-ordinate, calculations for the air-over-ground transport of radiation from the Hiroshima and Nagasaki weapon devices. It was found that the gamma-ray kerma dominated the total kerma for both environments

Relation of radiation of gastric carcinoma observed in autopsy cases in a fixed population Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Shimizu, Y; Yamamoto, T [Radiation Effect Research Foundation (Japan)

1976-03-01

The relationship between exposure dose and the occurrence of stomach cancer, especially the histological type of the cancer was studied in 535 autopsy cases which had died of stomach cancer from 1961 to 1974 in the Radiation Effect Research Foundation. The incidence of stomach cancer tended to be higher in the group with high exposure dose in Hiroshima, and only in the group with 300 - 399 rads in Nagasaki. The relationship between the incidence of stomach cancer by age at the exposure and the exposure dose was studied by the relative risk (200-499 rads/ 0 rads) of the incidence of stomach cancer by age. The relative risk was 1.56 in the group which had been more than 50 years old at exposure in both Hiroshima and Nagasaki. The risk of stomach cancer was higher in more aged persons at the exposure. From the aspect of the relationship between histological type of stomach cancer and exposure dose, the incidence of intestinal type or diffuse type tended to be higher in the persons who had much more doses. Because there were small number of cases, there was no statistically significant differences between the incidence of stomach cancer and the exposure dose.

Type 1 diabetes: addressing the transition from pediatric to adult-oriented health care

Directory of Open Access Journals (Sweden)

Monaghan M

2016-04-01

Full Text Available Maureen Monaghan,1,2 Katherine Baumann2 1Center for Translational Science, Children's National Health System, 2George Washington University School of Medicine, Washington, DC, USA Abstract: Adolescents and young adults with type 1 diabetes are at risk for poor health outcomes, including poor glycemic control, acute and chronic complications, and emergency department admissions. During this developmental period, adolescent and young adult patients also experience significant changes in living situation, education, and/or health care delivery, including transferring from pediatric to adult health care. In recent years, professional and advocacy organizations have proposed expert guidelines to improve the process of preparation for and transition to adult-oriented health care. However, challenges remain and evidence-based practices for preparing youth for adult health care are still emerging. Qualitative research suggests that adolescent and young adult patients rely on health care providers to guide them through the transition process and appreciate a gradual approach to preparing for adult-oriented health care, keeping parents in supportive roles into young adulthood. Patients also benefit from specific referrals and contact information for adult care providers. Promising models of transition care include provision of transition navigators, attendance at a young adult bridge clinic, or joint visits with pediatric and adult care providers. However, much of this research is in its early stages, and more rigorous trials need to be conducted to evaluate health outcomes during transition into adult health care. The purpose of this review is to provide an overview of the transition process, patient and health care provider perceptions of transition care, and emerging evidence of successful models of care for engagement in adult-oriented health care. Recommendations and resources for health care providers are also presented. Keywords: type 1 diabetes

The delayed effects of radiation exposure among atomic bomb survivors, Hiroshima and Nagasaki, 1945-79

International Nuclear Information System (INIS)

Finch, S.C.; Moriyama, I.M.

1980-07-01

The most important radiation-induced late medical effect in the atomic bomb survivors of Hiroshima and Nagasaki has been the increased occurrence of certain neoplasms, specifically, leukemia and cancers of the thyroid, lung, and breast. Other definite radiation-related effects include an increase in posterior lenticular opacities, chromosome aberrations in peripheral blood lymphocytes, and some abnormalities of growth and development following irradiation while in utero or during childhood. Moderate to fairly strong associations between A-bomb exposure and the increased occurrence of stomach cancer, multiple myeloma, and several other types of cancer have been observed. Radiation relationships also are suggestive for alterations of certain aspects of immune mechanisms and the increased occurrence of myelofibrosis. No increase in genetic effects has been demonstrated in the children born of exposed parents, and studies to data have been negative for evidence of increased infertility, accelerated aging, or increased mortality from diseases other than cancer. In general, the radiation dose-response relationships for most positive effects have been higher in Hiroshima than in Nagasaki, and the shape of the dose-response curves for certain effects is different in the two cities. These differences may be related to differences in the quality of the radiation from the two A-bombs. For several radiation-related effects the latent period following exposure is shorter and the incidence rate is higher in personse exposed when young as compared to exposure later in life. (author)

Associations of eHealth Literacy With Health Behavior Among Adult Internet Users.

Science.gov (United States)

Mitsutake, Seigo; Shibata, Ai; Ishii, Kaori; Oka, Koichiro

2016-07-18

In the rapidly developing use of the Internet in society, eHealth literacy-having the skills to utilize health information on the Internet-has become an important prerequisite for promoting healthy behavior. However, little is known about whether eHealth literacy is associated with health behavior in a representative sample of adult Internet users. The aim of this study was to examine the association between eHealth literacy and general health behavior (cigarette smoking, physical exercise, alcohol consumption, sleeping hours, eating breakfast, eating between meals, and balanced nutrition) among adult Internet users in Japan. The participants were recruited among registrants of a Japanese Internet research service company and asked to answer a cross-sectional Internet-based survey in 2012. The potential respondents (N=10,178) were randomly and blindly invited via email from the registrants in accordance with the set sample size and other attributes. eHealth literacy was assessed using the Japanese version of the eHealth Literacy Scale. The self-reported health behaviors investigated included never smoking cigarettes, physical exercise, alcohol consumption, sleeping hours, eating breakfast, not eating between meals, and balanced nutrition. We obtained details of sociodemographic attributes (sex, age, marital status, educational attainment, and household income level) and frequency of conducting Internet searches. To determine the association of each health behavior with eHealth literacy, we performed a logistic regression analysis; we adjusted for sociodemographic attributes and frequency of Internet searching as well as for other health behaviors that were statistically significant with respect to eHealth literacy in univariate analyses. We analyzed the data of 2115 adults (response rate: 24.04%, 2142/10,178; male: 49.74%, 1052/2115; age: mean 39.7, SD 10.9 years) who responded to the survey. Logistic regression analysis showed that individuals with high eHealth

[Health literacy of adults in Germany: Findings from the German Health Update (GEDA) study].

Science.gov (United States)

Jordan, Susanne; Hoebel, Jens

2015-09-01

In today's information society, health literacy (HL) is considered important for health maintenance and disease management. In this context, dealing with health information is fundamental and requires different cognitive and social skills. The aim of this study was to investigate the distribution of HL levels in the adult population of Germany, and to identify associations with health behaviours and health status. The analyses were based on data from the German Health Update (GEDA) study, a cross-sectional survey of the German-speaking adult population of Germany, which was conducted from October 2013 to June 2014. Health literacy was assessed with the short form of the European Health Literacy Questionnaire (HLS EU-Q16), along with questions about socio-demographics, health behaviours, and health status. The HLS-EU-Q16 index could be calculated for 4845 respondents. According to the criteria of the HLS-EU-Q16, more than half of the adults had "adequate" HL (55.8 %). Every third person (31.9 %) had "problematic" and almost every eighth person (12.3 %) had "inadequate" HL. We found significant differences in HL by educational level, but no differences in HL by sex and age group. Certain health behaviours were positively associated with health literacy. A low HL level was associated with poorer physical and mental health. The results point to a need for action to improve HL in the adult population. The strengthening of health literacy should not solely aim at the promotion of individual skills, but also give high priority to the development of health-literate settings.

Familism and Health Care Provision to Hispanic Older Adults.

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Savage, Brittany; Foli, Karen J; Edwards, Nancy E; Abrahamson, Kathleen

2016-01-01

The Hispanic older adult population's rapid growth calls for an awareness of values that can affect the rendering and receipt of care. Familism, or familismo, a traditional Hispanic value, places importance of family over the self and can potentially affect health care perceptions and practices for Hispanic older adults. The current article discusses familism, which is upheld by some Hispanic older adults, and the potential for underuse of health care services. The traditional feminine role, marianismo, and masculine role, machismo, are considered, as well as implications for how decision making may be made by family members rather than the patient. Clinical implications for the provision of health care to Hispanic older adults are provided, along with the importance of considering acculturation and ethnic heterogeneity. Health care management strategies that reflect recognition and respect of familism, yet emphasize optimization of adherence and self-care, are described. Copyright 2016, SLACK Incorporated.

Mortality statistics by causes of death among A-bomb survivors in Hiroshima prefecture, 1973 - 1977

International Nuclear Information System (INIS)

Hayakawa, Norihiko; Munaka, Masaki; Kurihara, Minoru

1985-01-01

The standardized mortality ratios of A-bomb survivors in Hiroshima Prefecture between 1973 and 1977 were compared with those of non-exposed population in this prefecture. In the malignant neoplasms, the ratios for leukemia, liver, breast, lung, larynx, brain, bone, skin, uterus, bladder and colon were higher than non-exposed. Other than the neoplasms, the ratios for cirrhosis of liver, diabetes, hypertensive diseases and blood and blood-forming organs were higher than nonexposed, while those for heart diseases, cerebro-vascular diseases, senility, gastro-enteritis and accidents were lower than non-exposed. (author)

Deep underground measurements of 60Co in steel exposed to the Hiroshima atomic bomb explosion.

Science.gov (United States)

Hult, Mikael; Gasparro, Joël; Vasselli, Roberto; Shizuma, Kiyoshi; Hoshi, Masaharu; Arnold, Dirk; Neumaier, Stefan

2004-01-01

When using gamma-ray spectrometry performed deep underground, it is possible to measure 60Co activities down to 0.1 mBq in steel samples of some 100 g without any pre-concentration. It is thus still possible to measure 60Co induced by neutrons from the atomic bomb explosion in Hiroshima in pieces of steel collected at distances up to about 1200 m slant range. The results of non-destructive measurements of eight steel samples are compared with the 1986 Dose Re-Evaluation (DS86) model calculations.

Deep underground measurements of 60Co in steel exposed to the Hiroshima atomic bomb explosion

International Nuclear Information System (INIS)

Hult, Mikael; Gasparro, J.Joeel; Vasselli, Roberto; Shizuma, Kiyoshi; Hoshi, Masaharu; Arnold, Dirk; Neumaier, Stefan

2004-01-01

When using gamma-ray spectrometry performed deep underground, it is possible to measure 60 Co activities down to 0.1 mBq in steel samples of some 100 g without any pre-concentration. It is thus still possible to measure 60 Co induced by neutrons from the atomic bomb explosion in Hiroshima in pieces of steel collected at distances up to about 1200 m slant range. The results of non-destructive measurements of eight steel samples are compared with the 1986 Dose Re-Evaluation (DS86) model calculations

Socioeconomic Inequalities in Mental Health of Adult Population: Serbian National Health Survey.

Science.gov (United States)

Santric-Milicevic, Milena; Jankovic, Janko; Trajkovic, Goran; Terzic-Supic, Zorica; Babic, Uros; Petrovic, Marija

2016-01-01

The global burden of mental disorders is rising. In Serbia, anxiety is the leading cause of disability-adjusted life years. Serbia has no mental health survey at the population level. The information on prevalence of mental disorders and related socioeconomic inequalities are valuable for mental care improvement. To explore the prevalence of mental health disorders and socioeconomic inequalities in mental health of adult Serbian population, and to explore whether age years and employment status interact with mental health in urban and rural settlements. Cross-sectional study. This study is an additional analysis of Serbian Health Survey 2006 that was carried out with standardized household questionnaires at the representative sample of 7673 randomly selected households - 15563 adults. The response rate was 93%. A multivariate logistic regression modeling highlighted the predictors of the 5 item Mental Health Inventory (MHI-5), and of chronic anxiety or depression within eight independent variables (age, gender, type of settlement, marital status and self-perceived health, education, employment status and Wealth Index). The significance level in descriptive statistics, chi square analysis and bivariate and multivariate logistic regressions was set at pinequalities contributed by differences in age, education, employment, marriage and the wealth status of the adult population.

Recent progress in carcinogenesis, progression and therapy of breast cancer: the 20th Hiroshima Cancer Seminar--the 4th Three Universities' Consortium International Symposium, October 2010: 31 October 2010, International Conference Center Hiroshima.

Science.gov (United States)

Toi, Masakazu; Yasui, Wataru; Ito, Hisao; Tahara, Eiichi

2011-07-01

The 20th Hiroshima Cancer seminar focused upon breast cancer research and treatment particularly on the mechanism of tumorigenesis and drug resistance and development of novel therapeutics. Several molecules such as retinoblastoma and p16 were raised as key factors in tumorigenesis and invasiveness. Estrogen-related pathways seem to be closely involved in the process. For the tumor lacking hormone receptor and human epidermal growth factor 2, some other mechanisms could be responsible. It seems that MicroRNA 22 directing some putative targets such as SIRT1, Sp1 and CDK6 plays a crucial role in breast tumor growth and metastasis. In addition, ribophorin and the associated molecules might be engaged in breast cancer stemness. Obviously, these molecules provide potential for therapeutic targets. It was also discussed about new drug development such as anti-human epidermal growth factor 2 therapy, anti-angiogenesis, pro-tumor aspects of anti-cancer therapy and application of circulating markers for monitoring, imaging and health-care system. Furthermore, we discussed risk factors, prevention and screening to reduce invasive cancers as well. Throughout the conference, panelists and attendee indicated the importance of translational research and biomarker exploration in order to realize efficient and individualized therapy for breast cancer.

Autism spectrum disorder in adults: diagnosis, management, and health services development

Science.gov (United States)

Murphy, Clodagh M; Wilson, C Ellie; Robertson, Dene M; Ecker, Christine; Daly, Eileen M; Hammond, Neil; Galanopoulos, Anastasios; Dud, Iulia; Murphy, Declan G; McAlonan, Grainne M

2016-01-01

Autism spectrum disorder (ASD) is a common neurodevelopmental disorder characterized by pervasive difficulties since early childhood across reciprocal social communication and restricted, repetitive interests and behaviors. Although early ASD research focused primarily on children, there is increasing recognition that ASD is a lifelong neurodevelopmental disorder. However, although health and education services for children with ASD are relatively well established, service provision for adults with ASD is in its infancy. There is a lack of health services research for adults with ASD, including identification of comorbid health difficulties, rigorous treatment trials (pharmacological and psychological), development of new pharmacotherapies, investigation of transition and aging across the lifespan, and consideration of sex differences and the views of people with ASD. This article reviews available evidence regarding the etiology, legislation, diagnosis, management, and service provision for adults with ASD and considers what is needed to support adults with ASD as they age. We conclude that health services research for adults with ASD is urgently warranted. In particular, research is required to better understand the needs of adults with ASD, including health, aging, service development, transition, treatment options across the lifespan, sex, and the views of people with ASD. Additionally, the outcomes of recent international legislative efforts to raise awareness of ASD and service provision for adults with ASD are to be determined. Future research is required to identify high-quality, evidence-based, and cost-effective models of care. Furthermore, future health services research is also required at the beginning and end of adulthood, including improved transition from youth to adult health care and increased understanding of aging and health in older adults with ASD. PMID:27462160

Child incarceration and long-term adult health outcomes: a longitudinal study.

Science.gov (United States)

Barnert, Elizabeth S; Abrams, Laura S; Tesema, Lello; Dudovitz, Rebecca; Nelson, Bergen B; Coker, Tumaini; Bath, Eraka; Biely, Christopher; Li, Ning; Chung, Paul J

2018-03-12

Purpose Although incarceration may have life-long negative health effects, little is known about associations between child incarceration and subsequent adult health outcomes. The paper aims to discuss this issue. Design/methodology/approach The authors analyzed data from 14,689 adult participants in the National Longitudinal Study of Adolescent to Adult Health (Add Health) to compare adult health outcomes among those first incarcerated between 7 and 13 years of age (child incarceration); first incarcerated at>or=14 years of age; and never incarcerated. Findings Compared to the other two groups, those with a history of child incarceration were disproportionately black or Hispanic, male, and from lower socio-economic strata. Additionally, individuals incarcerated as children had worse adult health outcomes, including general health, functional limitations (climbing stairs), depressive symptoms, and suicidality, than those first incarcerated at older ages or never incarcerated. Research limitations/implications Despite the limitations of the secondary database analysis, these findings suggest that incarcerated children are an especially medically vulnerable population. Practical implications Programs and policies that address these medically vulnerable children's health needs through comprehensive health and social services in place of, during, and/or after incarceration are needed. Social implications Meeting these unmet health and social service needs offers an important opportunity to achieve necessary health care and justice reform for children. Originality/value No prior studies have examined the longitudinal relationship between child incarceration and adult health outcomes.

Significant unmet oral health needs of homebound elderly adults.

Science.gov (United States)

Ornstein, Katherine A; DeCherrie, Linda; Gluzman, Rima; Scott, Elizabeth S; Kansal, Jyoti; Shah, Tushin; Katz, Ralph; Soriano, Theresa A

2015-01-01

To assess the oral health status, use of dental care, and dental needs of homebound elderly adults and to determine whether medical diagnoses or demographic factors influenced perceived oral health. Cross-sectional analysis. Participants' homes in New York City. Homebound elderly adults (N = 125). A trained dental research team conducted a comprehensive clinical examination in participants' homes and completed a dental use and needs survey and the Geriatric Oral Health Assessment Index. Participants who reported a high level of unmet oral health needs were more likely to be nonwhite, although this effect was not significant in multivariate analysis. Individual medical diagnoses and the presence of multiple comorbidities were not associated with unmet oral health needs. The oral health status of homebound elderly adults was poor regardless of their medical diagnoses. High unmet oral health needs combined with strong desire to receive dental care suggests there is a need to improve access to dental care for this growing population. In addition to improving awareness of geriatricians and primary care providers who care for homebound individuals, the medical community must partner with the dental community to develop home-based programs for older adults. © 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.

Acculturation and Health of Korean American Adults.

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Shin, Cha-Nam; Lach, Helen W

2014-07-01

Increasing cultural diversity in the United States and significant health disparities among immigrant populations make acculturation an important concept to measure in health research. The purpose of this cross-sectional, descriptive study was to examine acculturation and health of Korean American adults. A convenience sample of 517 Korean American adults in a Midwestern city completed a survey in either English or Korean. All four groups of Berry's acculturation model were identified using cluster analysis with Lee's Acculturation Scale. Assimilation, integration, and separation were found in the English survey sample, whereas integration, separation, and marginalization were found in the Korean survey sample. Moreover, the findings revealed that acculturation is a bidimensional process, and the unique nature of samples may determine acculturation groups. Physical health and mental health were significantly related to acculturation in the English survey sample. However, there was not a significant relationship between health and acculturation in the Korean survey sample. © The Author(s) 2014.

Malignant lymphoma in survivors of the atomic bomb, Hiroshima

Energy Technology Data Exchange (ETDEWEB)

Anderson, R E; Ishida, Kenzo

1964-02-01

The present study demonstrates an increased prevalence of Hodgkin's disease, lymphosarcoma and multiple myeloma in survivors within 1400 m from the hypocenter in Hiroshima who had surgical or post-mortem examinations at ABCC. Reticulum cell sarcoma appears to have decreased prevalence in this same group. The pathologic material demonstrating these relationships consists of 91 cases of unequivocal malignant lymphoma and is drawn from two essentially independent ABCC sources, the autopsy series and diagnostic lymph node biopsies. A consideration of the epidemiologic characteristics of this material supports the view that the increase in prevalence is a reflection of the occurrence of lymphoma in the general population of survivors within 1400 m of the hypocenter. In addition, among such persons autopsied at ABCC there appears to be a shift to death at an earlier age than is found in the other comparison groups. The possible implications of this are discussed. A comparison of the lymphomas examined shows no morphologic differences in the corresponding diagnostic categories between the various comparison groups. 21 references, 3 figures, 3 tables.

Hyperparathyroidism among atomic bomb survivors in Hiroshima, 1986-88

International Nuclear Information System (INIS)

Fujiwara, Saeko; Ezaki, Haruo; Sposto, R.; Akiba, Suminori; Neriishi, Kazuo; Kodama, Kazunori; Hosoda, Yutaka; Shimaoka, Katsutaro; Yoshimitsu, Kengo.

1990-10-01

During the two-year period from August 1986 to July 1988, the prevalence of hyperparathyroidism (HPT) was determined among A-bomb survivors and unexposed control subjects in Hiroshima. The diagnosis of HPT was determined biochemically, based upon the presence of consistent hypercalcemia and elevated serum parathyroid hormone levels. Among a population of 4,675 individuals (1,527 males, 3,148 females), primary HPT was diagnosed in 22 (3 males, 19 females). Of these, 8 underwent surgery, of whom 6 had a single parathyroid adenoma and 2 had parathyroid hyperplasia. HPT was more prevalent among the A-bomb survivors who received higher radiation doses (p <.001 for linear trend). The prevalence rates predicted from the model were 0.204% (±0.094%) at 0 Gy and 0.893% (±0.237%) at 1 Gy. The background rate of HPT did not differ significantly by sex or by age at the time of the bombing, although the effect of radiation exposure was greater for individuals exposed at a younger age (p <.01). (author)

Genetic radiation effects of Hiroshima and Nagasaki atomic bombs

International Nuclear Information System (INIS)

Srsen, S.

1984-01-01

A group of researchers examined persons who had survived the Hiroshima and Nagasaki bombs and were irradiated and their progeny with the aim of getting an idea of the genetic effects of these explosions. Teratogenic effects are not discussed. In the lymphocytes of the peripheral blood of persons who had been exposed to high dose irradiation the researchers found a significant increase in chromosomal aberrations by conventional and more recent methods of chromosomal analysis. In parents who had survived the atomic holocaust there were no significant deviations as against the rest of the population in still births, neonatal defects, infant mortality, and mortality of first generation progeny, in neonate weight, the sex ratio, increased occurence of leukosis and chromosomal aberrations in their children. These negative findings in the first generation do not signify that there is no danger from atomic bomb blasts for human kind. They only indicate that the effects of radiation were to small to be found by routine methods or that the methods used were not suitable

Genetic radiation effects of Hiroshima and Nagasaki atomic bombs

Energy Technology Data Exchange (ETDEWEB)

Srsen, S. (Komenskeho Univ., Bratislava (Czechoslovakia). Lekarska Fakulta)

1984-05-01

A group of researchers examined persons who had survived the Hiroshima and Nagasaki bombs and were irradiated and their progeny with the aim of getting an idea of the genetic effects of these explosions. Teratogenic effects are not discussed. In the lymphocytes of the peripheral blood of persons who had been exposed to high dose irradiation the researchers found a significant increase in chromosomal aberrations by conventional and more recent methods of chromosomal analysis. In parents who had survived the atomic holocaust there were no significant deviations as against the rest of the population in still births, neonatal defects, infant mortality, and mortality of first generation progeny, in neonate weight, the sex ratio, increased occurence of leukosis and chromosomal aberrations in their children. These negative findings in the first generation do not signify that there is no danger from atomic bomb blasts for human kind. They only indicate that the effects of radiation were too small to be found by routine methods or that the methods used were not suitable.

Late radiation responses in man: Current evaluation from results from Hiroshima and Nagasaki

Science.gov (United States)

Schull, William J.

Among the late effects of exposure to the atomic bombings of Hiroshima and Nagasaki, none looms larger than radiation related malignancies. Indeed, the late effects of A-bomb radiation on mortality appear to be limited to an increase in malignant tumors. At present, it can be shown that cancers of the breast, colon, esophagus, lungs, stomach, thyroid, and urinary tract as well as leukemia and multiple myeloma increase in frequency with an increase in exposure. No significant relationship to radiation can as yet be established for malignant lymphoma, nor cancers of the rectum, pancreas or uterus. Radiation induced malignancies other than leukemia seem to develop proportionally to the natural cancer rate for the attained age. For specific age-at-death intervals, both relative and absolute risks tend to be higher for those of younger age at the time of bombing. Other late effects include radiation-related lenticular opacities, disturbances of growth among those survivors still growing at the time of exposure, and mental retardation and small head sizes among the in utero exposed. Chromosomal abnormalities too are more frequently encountered in the peripheral leucocytes of survivors, and this increase is functionally related to their exposure. Some uncertainty continues to surround both the quantity and quality of the radiation released by these two nuclear devices, particularly the Hiroshima bomb. A recent reassessment suggests that the gamma radiation estimates which have been used in the past may be too low at some distances and the neutron radiation estimates too high at all distances; moreover, the energies of the neutrons released now appear ``softer'' than previously conjectured. These uncertainties not sufficiently large, however, to compromise the reality of the increased frequency of malignancy, but make estimates of the dose response, particularly in terms of gamma and neutron exposures, tentative.

As bombas atômicas podem dizimar a humanidade - Hiroshima e Nagasaki, há 70 anos

Directory of Open Access Journals (Sweden)

OKUNO EMICO

2015-08-01

Full Text Available Este artigo rememora o que aconteceu há 70 anos após o lançamento pelos americanos das bombas atômicas Little Boy e Fat Man, respectivamente, nas cidades japonesas de Hiroshima e Nagasaki. Discorre suscintamente sobre energia nuclear e o Projeto Manhattan, que desenvolveu e produziu essas bombas e suas características. A destruição causada e os efeitos biológicos consequentes na população são também descritos.

Factors influencing adult physical health after controlling for current health conditions: evidence from a british cohort.

Directory of Open Access Journals (Sweden)

Helen Cheng

Full Text Available This study explored a longitudinal data set of 6875 British adults examining the effects of parental social status (measured at birth, cognitive ability (at age 11 yrs, personality traits, education and occupational attainment on physical health and functioning (all measured at age 50 yrs, after taking account of current health conditions (number of illness. Correlation analysis showed that parental social class, childhood cognitive ability, education and occupation, and two personality traits (Emotional Stability/Neuroticism, and Conscientiousness were all significantly associated with adult physical health variables. Structural equation modelling showed that health conditions and personality traits were significantly, and inversely, associated with physical health (indicated by good daily physical functioning, relative absence of pain, perceived health, and low level of limitations at work due to physical health. Parental social status, childhood intelligence, educational and occupational attainment were all modestly, but significantly and directly, associated with adult physical health. The effect of childhood intelligence on adult physical health was, in part, mediated through Emotional Stability and Conscientiousness. After controlling for health conditions Emotional Stability was the strongest predictor of physical health. Implications and limitations are discussed.

PREFACE: International Conference on Quantum Simulators and Design, Hiroshima, Japan, 3 6 December 2006

Science.gov (United States)

Akai, Hisazumi; Oguchi, Tamio

2007-09-01

This special issue of Journal of Physics: Condensed Matter comprises selected papers from the 1st International Conference on Quantum Simulators and Design (QSD2006) held in Hiroshima, Japan, 3-6 December 2006. This conference was organized under the auspices of the Development of New Quantum Simulators and Quantum Design Grant-in-Aid for Scientific Research on Priority Areas, Ministry of Education, Culture, Sports, Science and Technology of Japan (MEXT), and Hiroshima University Quantum design is a computational approach to the development of new materials with specified properties and functionalities. The basic ingredient is the use of quantum simulations to design a material that meets a given specification of properties and functionalities. For this to be successful, the quantum simulation should be highly reliable and be applicable to systems of realistic size. A central interest is, therefore, the development of new methods of quantum simulation and quantum design. This includes methods beyond the local density approximation of density functional theory (LDA), order-N methods, methods dealing with excitations and reactions, and so on, as well as the application of these methods to the design of new materials and devices. The field of quantum design has developed rapidly in the past few years and this conference provides an international forum for experimental and theoretical researchers to exchange ideas. A total of 183 delegates from 8 countries participated in the conference. There were 18 invited talks, 16 oral presentations and 100 posters. There were many new ideas and we foresee dramatic progress in the coming years. The 2nd International Conference on Quantum Simulators and Design will be held in Tokyo, Japan, 31 May-3 June 2008.

Perceived health status is associated with hours of exercise per week in older adults independent of physical health.

Science.gov (United States)

McHugh, Joanna Edel; Lawlor, Brian A

2013-11-01

Perceived health status does not always reflect actual health status. We investigated the association between objective and self-rated measures of health status and hours of exercise per week in older adults. As part of the TRIL clinic assessment, we gathered information from 473 community dwelling adults over the age of 65, regarding hours spent per week exercising, depression, personality, perceived health status, and objective health status (in the form of a comorbidity count). Regression analyses were performed on these data to investigate whether perceived health status, objective health status, personality and mood are associated with hours of exercise per week. Perceived and objective health status were significantly but weakly correlated. Both perceived and objective health status, as well as depression, were independently associated with hours of exercise per week. We conclude that exercise uptake in older adults is contingent on both perceived and objective health status, as well as depression. Perceived health status has a stronger association with exercise uptake in older adults with lower depression levels. The current findings have implications for designing exercise interventions for older adults.

Optimizing Tailored Health Promotion for Older Adults

Science.gov (United States)

Marcus-Varwijk, Anne Esther; Koopmans, Marg; Visscher, Tommy L. S.; Seidell, Jacob C.; Slaets, Joris P. J.; Smits, Carolien H. M.

2016-01-01

Objective: This study explores older adults’ perspectives on healthy living, and their interactions with professionals regarding healthy living. This perspective is necessary for health professionals when they engage in tailored health promotion in their daily work routines. Method: In a qualitative study, 18 semi-structured interviews were carried out with older adults (aged 55-98) living in the Netherlands. The framework analysis method was used to analyze the transcripts. Results: Three themes emerged from the data—(a) healthy living: daily routines and staying active, (b) enacting healthy living: accepting and adapting, (c) interaction with health professionals with regard to healthy living: autonomy and reciprocity. Discussion: Older adults experience healthy living in a holistic way in which they prefer to live active and independent lives. Health professionals should focus on building an equal relationship of trust and focus on positive health outcomes, such as autonomy and self-sufficiency when communicating about healthy living. PMID:28138485

Investigation of radiation effects in Hiroshima and Nagasaki using a general Monte Carlo-discrete ordinates coupling scheme

International Nuclear Information System (INIS)

Cramer, S.N.; Slater, C.O.

1990-01-01

A general adjoint Monte Carlo-forward discrete ordinates radiation transport calculational scheme has been created to study the effects of the radiation environment in Hiroshima and Nagasaki due to the bombing of these two cities. Various such studies for comparison with physical data have progressed since the end of World War II with advancements in computing machinery and computational methods. These efforts have intensified in the last several years with the U.S.-Japan joint reassessment of nuclear weapons dosimetry in Hiroshima and Nagasaki. Three principal areas of investigation are: (1) to determine by experiment and calculation the neutron and gamma-ray energy and angular spectra and total yield of the two weapons; (2) using these weapons descriptions as source terms, to compute radiation effects at several locations in the two cities for comparison with experimental data collected at various times after the bombings and thus validate the source terms; and (3) to compute radiation fields at the known locations of fatalities and surviving individuals at the time of the bombings and thus establish an absolute cause-and-effect relationship between the radiation received and the resulting injuries to these individuals and any of their descendants as indicated by their medical records. It is in connection with the second and third items, the determination of the radiation effects and the dose received by individuals, that the current study is concerned

Diuron, Irgarol 1051 and Fenitrothion contamination for a river passing through an agricultural and urban area in Higashi Hiroshima City, Japan.

Science.gov (United States)

Kaonga, Chikumbusko Chiziwa; Takeda, Kazuhiko; Sakugawa, Hiroshi

2015-06-15

A study was conducted on the pesticides Diuron, Irgarol 1051 and Fenitrothion in Kurose River water, Higashi Hiroshima, Japan for a period of one year to assess the contribution of agriculture and urban activities on pesticide pollution of the river. Samples were analysed by a reverse phase HPLC system. The maximum pesticide concentrations were; 4620 ng/L, 50 ng/L and 370 ng/L for Diuron, Irgarol 1051 and Fenitrothion, respectively. While Diuron and Fenitrothion were detected at all sites, Irgarol 1051 was only present at Izumi, a high density urban and industrial area which also registered the highest concentrations of the pesticides. The pattern showed by Diuron and Fenitrothion was linked to farming activities. Also, Diuron and Fenitrothion concentration correlated with pesticide utilization data for Hiroshima Prefecture. Irgarol 1051 showed a different pattern to that of Diuron and Fenitrothion and its source was attributed to paint. It was noted that 78% and 42% of water samples at Izumi sampling site exceeded the European Union (EU) guidelines for Diuron and Fenitrothion, respectively. Copyright © 2015 Elsevier B.V. All rights reserved.

NIH-ABCC pathology studies in Hiroshima and Nagasaki provisional research plan. 1. Description and scope of program

Energy Technology Data Exchange (ETDEWEB)

Zeldis, L J; Matsumoto, Y Scott

1961-04-18

A proposed program for the conduct of pathology studies within fixed cohorts of Hiroshima and Nagasaki A-bomb survivors is described. It is intended that the program may with appropriate modifications serve as a basis for collaborative efforts by community medical institutions and organizations together with ABCC-NIH in both cities. The report describes the scope of the program, together with epidemiologic aspects of the population base and methods of case procurement, and outlines proposed studies. 36 references, 4 figures, 8 tables.

Deep underground measurements of {sup 60}Co in steel exposed to the Hiroshima atomic bomb explosion

Energy Technology Data Exchange (ETDEWEB)

Hult, Mikael E-mail: mikael.hult@cec.eu.int; Gasparro, J.Joeel; Vasselli, Roberto; Shizuma, Kiyoshi; Hoshi, Masaharu; Arnold, Dirk; Neumaier, Stefan

2004-09-01

When using gamma-ray spectrometry performed deep underground, it is possible to measure {sup 60}Co activities down to 0.1 mBq in steel samples of some 100 g without any pre-concentration. It is thus still possible to measure {sup 60}Co induced by neutrons from the atomic bomb explosion in Hiroshima in pieces of steel collected at distances up to about 1200 m slant range. The results of non-destructive measurements of eight steel samples are compared with the 1986 Dose Re-Evaluation (DS86) model calculations.

Psychosocial and Health Behavior Outcomes of Young Adults with Asthma or Diabetes.

Science.gov (United States)

Berge, Jerica M; Bauer, Katherine W; Eisenberg, Marla E; Denny, Kara; Neumark-Sztainer, Dianne

2012-04-30

Previous research has shown a relationship between childhood/adolescent chronic conditions and negative health behaviors, psychological outcomes, and social outcomes. Less is known about whether these negative outcomes are experienced by young adults with chronic health conditions. The purpose of this paper is to investigate how young adults' BMI, health behaviors, and psychological and social outcomes differ depending on whether they have diabetes, asthma, or neither of these chronic conditions. Data were drawn from the third wave of Project EAT-III: Eating and Activity in Young Adults, a population-based study of 2287 young adults (mean age = 25.3; range 19.8 - 31.2). General linear models were used to test differences in BMI, health behaviors (e.g., fast food intake) and psychosocial outcomes (e.g. depressive symptoms) by young adults' chronic disease status. Young adults with diabetes had higher BMIs, engaged in less physical activity and more unhealthy weight control behaviors and binge eating, had lower self-esteem and lower body satisfaction, and experienced more depressive symptoms and appearance-based teasing compared to young adults with asthma or no chronic conditions, after adjusting for age, race/ethnicity, socio-economic status (SES) and, when relevant, for BMI. There were no significant differences between young adults with asthma and young adults with no chronic condition on all of the psychosocial and health behavior outcomes. Young adults with diabetes reported higher prevalence of negative health behaviors and psychosocial outcomes. Providers may find it useful to assess for negative health behaviors and psychosocial variables with young adults with diabetes in order to improve treatment and quality of life for these individuals.

Focal and diffuse papillary muscle fibrosis and small vessel sclerosis of the heart. A clinical-pathologic study of 375 autopsies

Energy Technology Data Exchange (ETDEWEB)

Steer, A; Danzig, M D; Robertson, T L; Kawashima, T; Nakashima, T; Lee, K K

1975-01-01

A retrospective clinical-pathologic study was made of papillary muscle fibrosis and small vessel sclerosis of the heart in 375 autopsies from the ABCC-JNIH Adult Health Study sample in Hiroshima and Nagasaki. The histopathologic findings were correlated with clinical diagnoses which included hypertension, hypertensive heart disease, myocardial infarction, and diabetes mellitus. (7 tables, 5 figures) (auth)

The Mental Health of Older LGBT Adults.

Science.gov (United States)

Yarns, Brandon C; Abrams, Janet M; Meeks, Thomas W; Sewell, Daniel D

2016-06-01

There are approximately one million older lesbian, gay, bisexual, and transgender (LGBT) adults in the USA. Their mental health issues result from interactions between genetic factors and stress associated with membership in a sexual minority group. Although advancements in acceptance and equal treatment of LGBT individuals have been occurring, sexual minority status remains associated with risks to physical and mental well-being. Older LGBT adults are more likely to have experienced mistreatment and discrimination due to living a majority of their lives prior to recent advancements in acceptance and equal treatment. All LGBT adults experience one common developmental challenge: deciding if, when, and how to reveal to others their gender identity and/or sexual orientation. LGBT individuals have higher rates of anxiety, depression, and substance use disorders and also are at increased risk for certain medical conditions like obesity, breast cancer, and human immunodeficiency virus (HIV). Improved education and training of clinicians, coupled with clinical research efforts, holds the promise of improved overall health and life quality for older LGBT adults.

Childhood Adversity, Religion, and Change in Adult Mental Health.

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Jung, Jong Hyun

2018-02-01

Research indicates that childhood adversity is associated with poor mental health in adulthood. The purpose of this study is to examine whether the deleterious long-term effects of childhood adversity on adult mental health are reduced for individuals who are involved in religious practices. Using longitudinal data from a representative sample of American adults ( N = 1,635), I find that religious salience and spirituality buffer the noxious effects of childhood abuse on change in positive affect over time. By contrast, these stress-buffering properties of religion fail to emerge when negative affect serves as the outcome measure. These results underscore the importance of religion as a countervailing mechanism that blunts the negative impact of childhood abuse on adult mental health over time. I discuss the theoretical implications of these findings for views about religion, childhood adversity, and mental health.

The report of joint research over 20 years of the Bulgarian Academy of Sciences and Hiroshima Institute of Technology

OpenAIRE

Tanaka,Takeshi; Vutova,Katia

2014-01-01

The Department of Electronics and Computer Engineering, Hiroshima Institute of Technology (EC-HIT) started the international joint research with the Laboratory “Physical Problems of Electron Beam technologies” of the Institute of Electronics, Bulgarian Academy of Sciences (IE-BAS) from 1994. 20 papers, included a book chapter, were published by implementing the international joint research under 5 Agreements for Academic Cooperation and Exchange between HIT and IEBAS. Our international joint ...

Adults with an epilepsy history fare significantly worse on positive mental and physical health than adults with other common chronic conditions-Estimates from the 2010 National Health Interview Survey and Patient Reported Outcome Measurement System (PROMIS) Global Health Scale.

Science.gov (United States)

Kobau, Rosemarie; Cui, Wanjun; Zack, Matthew M

2017-07-01

Healthy People 2020, a national health promotion initiative, calls for increasing the proportion of U.S. adults who self-report good or better health. The Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health Scale (GHS) was identified as a reliable and valid set of items of self-reported physical and mental health to monitor these two domains across the decade. The purpose of this study was to examine the percentage of adults with an epilepsy history who met the Healthy People 2020 target for self-reported good or better health and to compare these percentages to adults with history of other common chronic conditions. Using the 2010 National Health Interview Survey, we compared and estimated the age-standardized prevalence of reporting good or better physical and mental health among adults with five selected chronic conditions including epilepsy, diabetes, heart disease, cancer, and hypertension. We examined response patterns for physical and mental health scale among adults with these five conditions. The percentages of adults with epilepsy who reported good or better physical health (52%) or mental health (54%) were significantly below the Healthy People 2020 target estimate of 80% for both outcomes. Significantly smaller percentages of adults with an epilepsy history reported good or better physical health than adults with heart disease, cancer, or hypertension. Significantly smaller percentages of adults with an epilepsy history reported good or better mental health than adults with all other four conditions. Health and social service providers can implement and enhance existing evidence-based clinical interventions and public health programs and strategies shown to improve outcomes in epilepsy. These estimates can be used to assess improvements in the Healthy People 2020 Health-Related Quality of Life and Well-Being Objective throughout the decade. Published by Elsevier Inc.

Summary of the studies at ABCC-RERF concerning the late hematologic effects of atomic bomb exposure in Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Finch, S.C.; Finch, C.A.

1990-06-01

The most significant late hematologic effect of atomic bomb radiation exposure in the populations of Hiroshima and Nagasaki has been the increased occurrence of leukemia. The radiation effect for leukemia has disappeared in Nagasaki but slightly elevated rates still exist in Hiroshima. Multiple myeloma also is radiation-related, but there is only a suggestive relationship for malignant lymphoma. No evidence exists of a late radiation effect for primary disturbances of hematopoiesis in the absence of malignant disease. Somatic hematopoietic markers of previous radiation exposure include lymphocyte chromosomal aberrations and an increased frequency of mutant T-lymphocytes deficient in hypoxanthine phosphoribosyltransferase. A radiation effect also has been observed for the frequency of mutant erythrocytes lacking expression of glycophorin-A protein on the membrane. There is no evidence for radiation-induced disturbance of granulocyte function, but age-related accelerated decline in the immunological functions of T lymphocytes and age-related alteration in the number of certain subsets of circulating T and B lymphocytes appears to be radiation-related. A number of radiation-related hematology research proposals which might be considered for the future are included in this report. (author) 92 refs

Cognition and Health Literacy in Older Adults' Recall of Self-Care Information.

Science.gov (United States)

Chin, Jessie; Madison, Anna; Gao, Xuefei; Graumlich, James F; Conner-Garcia, Thembi; Murray, Michael D; Stine-Morrow, Elizabeth A L; Morrow, Daniel G

2017-04-01

Health literacy is associated with health outcomes presumably because it influences the understanding of information needed for self-care. However, little is known about the language comprehension mechanisms that underpin health literacy. We explored the relationship between a commonly used measure of health literacy (Short Test of Functional Health Literacy in Adults [STOFHLA]) and comprehension of health information among 145 older adults. Results showed that performance on the STOFHLA was associated with recall of health information. Consistent with the Process-Knowledge Model of Health Literacy, mediation analysis showed that both processing capacity and knowledge mediated the association between health literacy and recall of health information. In addition, knowledge moderated the effects of processing capacity limits, such that processing capacity was less likely to be associated with recall for older adults with higher levels of knowledge. These findings suggest that knowledge contributes to health literacy and can compensate for deficits in processing capacity to support comprehension of health information among older adults. The implications of these findings for improving patient education materials for older adults with inadequate health literacy are discussed. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Associations between adult attachment and: oral health-related quality of life, oral health behaviour, and self-rated oral health.

Science.gov (United States)

Meredith, Pamela; Strong, Jenny; Ford, Pauline; Branjerdporn, Grace

2016-02-01

Although adult attachment theory has been revealed as a useful theoretical framework for understanding a range of health parameters, the associations between adult attachment patterns and a range of oral health parameters have not yet been examined. The aim of this study was to examine potential associations between attachment insecurity and: (1) oral health-related quality of life (OHRQoL), (2) oral health behaviours, and (3) self-rated oral health. In association with this aim, sample characteristics were compared with normative data. The sample in this cross-sectional study was comprised of 265 healthy adults, recruited via convenience sampling. Data were collected on attachment patterns (Experiences in Close Relationships Scale-Short Form, ECR-S), OHRQoL (Oral Health Impact Profile-14, OHIP-14), oral health behaviours (modified Dental Neglect Scale, m-DNS), and self-rated oral health (one-item global rating of oral health). Multivariate regression models were performed. Both dimensions of attachment insecurity were associated with lowered use of favourable dental visiting behaviours, as well as decreased OHRQoL for both overall well-being and specific aspects of OHRQoL. Attachment avoidance was linked with diminished self-rated oral health. This study supports the potential value of an adult attachment framework for understanding a range of oral health parameters. The assessment of a client's attachment pattern may assist in the identification of people who are at risk of diminished OHRQoL, less adaptive dental visiting behaviours, or poorer oral health. Further research in this field may inform ways in which attachment approaches can enhance oral health-related interventions.

Scars remaining in atom bomb survivors: a four year follow-up study. The status of lenticular opacities caused by atomic radiation, Hiroshima and Nagasaki, Japan, 1951-1953

Energy Technology Data Exchange (ETDEWEB)

Wells, W; Tsukifuji, Neal; Sinskey, R M

1959-01-01

Two studies on injuries suffered by survivors of the atomic explosions on Hiroshima and Nagasaki are described. Separate abstracts have been prepared for each paper for inclusion in the Energy Database. (DMC)

Short Assessment of Health Literacy for Portuguese-speaking Adults

Directory of Open Access Journals (Sweden)

Daniel Apolinario

2012-08-01

Full Text Available OBJECTIVE: To develop and validate a short health literacy assessment tool for Portuguese-speaking adults. METHODS: The Short Assessment of Health Literacy for Portuguese-speaking Adults is an assessment tool which consists of 50 items that assess an individual's ability to correctly pronounce and understand common medical terms. We evaluated the instrument's psychometric properties in a convenience sample of 226 Brazilian older adults. Construct validity was assessed by correlating the tool scores with years of schooling, self-reported literacy, and global cognitive functioning. Discrimination validity was assessed by testing the tool's accuracy in detecting inadequate health literacy, defined as failure to fully understand standard medical prescriptions. RESULTS: Moderate to high correlations were found in the assessment of construct validity (Spearman's coefficients ranging from 0.63 to 0.76. The instrument showed adequate internal consistency (Cronbach's alpha=0.93 and adequate test-retest reliability (intraclass correlation coefficient=0.95. The area under the receiver operating characteristic curve for detection of inadequate health literacy was 0.82. A version consisting of 18 items was tested and showed similar psychometric properties. CONCLUSIONS: The instrument developed showed good validity and reliability in a sample of Brazilian older adults. It can be used in research and clinical settings for screening inadequate health literacy.

Health-risk correlates of video-game playing among adults.

Science.gov (United States)

Weaver, James B; Mays, Darren; Sargent Weaver, Stephanie; Kannenberg, Wendi; Hopkins, Gary L; Eroğlu, Doğan; Bernhardt, Jay M

2009-10-01

Although considerable research suggests that health-risk factors vary as a function of video-game playing among young people, direct evidence of such linkages among adults is lacking. The goal of this study was to distinguish adult video-game players from nonplayers on the basis of personal and environmental factors. It was hypothesized that adults who play video games, compared to nonplayers, would evidence poorer perceptions of their health, greater reliance on Internet-facilitated social support, more extensive media use, and higher BMI. It was further hypothesized that different patterns of linkages between video-game playing and health-risk factors would emerge by gender. A cross-sectional, Internet-based survey was conducted in 2006 with a sample of adults from the Seattle-Tacoma area (n=562), examining health risks; media use behaviors and perceptions, including those related to video-game playing; and demographics. Statistical analyses conducted in 2008 to compare video-game players and nonplayers included bivariate descriptive statistics, stepwise discriminant analysis, and ANOVA. A total of 45.1% of respondents reported playing video games. Female video-game players reported greater depression (M=1.57) and poorer health status (M=3.90) than female nonplayers (depression, M=1.13; health status, M=3.57). Male video-game players reported higher BMI (M=5.31) and more Internet use time (M=2.55) than male nonplayers (BMI, M=5.19; Internet use, M=2.36). The only determinant common to female and male video-game players was greater reliance on the Internet for social support. A number of determinants distinguished video-game players from nonplayers, and these factors differed substantially between men and women. The data illustrate the need for further research among adults to clarify how to use digital opportunities more effectively to promote health and prevent disease.

Mental Health Service Use Among Lesbian, Gay, and Bisexual Older Adults.

Science.gov (United States)

Stanley, Ian H; Duong, Jeffrey

2015-07-01

Empirical efforts to measure use of mental health services among lesbian, gay, and bisexual (LGB) older adults have been notably lacking. Thus this study assessed associations between sexual orientation and mental health service use among older adults and determined the mediating role of nonspecific psychological distress, excessive alcohol use, and self-perceived poor general medical health. Data from the 2011 New York City Community Health Survey were analyzed. The analytic sample comprised 5,138 adults ages 50 and over. Logistic regression modeling was used to examine associations between sexual orientation (LGB versus heterosexual) and past-year mental health service use (counseling or medication), adjusting for sociodemographic and clinical characteristics. Mediation analyses using bootstrapping were conducted. Among LGB older adults, 23.9% reported receiving counseling, and 23.4% reported taking psychiatric medication in the past year. LGB respondents were significantly more likely than heterosexuals to have received counseling (adjusted odds ratio [AOR]=2.16, 95% confidence interval [CI]=1.49-3.13) and psychiatric medication (AOR=1.97, CI=1.36-2.86). Psychological distress, excessive alcohol use, and self-perceived poor general medical health did not mediate the association between sexual orientation and mental health service use. LGB older adults were more likely than heterosexuals to utilize mental health services, and this association was not explained by indicators of general medical, mental, or behavioral health.

Comparison of health care needs of child family members of adults with alcohol or drug dependence versus adults with asthma or diabetes.

Science.gov (United States)

Ray, G Thomas; Mertens, Jennifer R; Weisner, Constance

2014-05-01

To compare the health problems, preventive care utilization, and medical costs of child family members (CFMs) of adults diagnosed with alcohol or drug dependence (AODD) to CFMs of adults diagnosed with diabetes or asthma. Child family members of adults diagnosed with AODD between 2002 and 2005 and CFMs of matched adults diagnosed with diabetes or asthma were followed up to 7 years after diagnosis of the index adult. Logistic regression was used to determine whether the CFMs of AODD adults were more likely to be diagnosed with medical conditions, or get preventive care, than the CFMs of adults with asthma or diabetes. Children's health services use was compared using multivariate models. In Year 5 after index date, CFMs of adults with AODD were more likely to be diagnosed with depression and AODD than CFMs of adults with asthma or diabetes and were less likely to be diagnosed with asthma, otitis media, and pneumonia than CFMs of adults with asthma. CFMs of AODD adults were less likely than CFMs of adult asthmatic patients to have annual well-child visits. CFMs of AODD adults had similar mean annual total health care costs to CFMs of adults with asthma but higher total costs ($159/yr higher, confidence interval, $56-$253) than CFMs of adult diabetic patients. CFMs of adults with AODD had higher emergency department, higher outpatient alcohol and drug program, higher outpatient psychiatry, and lower primary care costs than CFMs of either adult asthmatic patients or diabetic patients. Children in families with an alcohol- or drug-dependent adult have unique patterns of health conditions, and differences in the types of health services used, compared to children in families with an adult asthmatic or diabetic family member. However, overall cost and utilization for health care services is similar or only somewhat higher. This is the first study of its kind, and the results have implications for the reduction of parental alcohol or drug dependence stigma by health care

Channels of health communications used among Korean and Asian Indian older adults.

Science.gov (United States)

Lee, Ji Seon

2010-01-01

According to Healthy People 2010, health communication is an important tool to reduce health disparities. Communication channels in which people prefer to receive health information may differ by race/ethnicity. One of the main challenges in designing an effective health communication program is to identify the most trusted and most often used channels of health information by Asian older adults. The aim of this study is to determine which health communication channels can be used to promote healthy lifestyles among older adults. A non-probability, convenience-sampling technique was used to recruit Korean (n = 9) and Asian Indian (n = 9) older adults from two senior centers in New York City. The findings from the two focus groups identified three distinct channels used by Asian older adults when obtaining health information: interpersonal (i.e., health care providers, word of mouth), mass media (i.e., ethnic mass media sources), and community specific (i.e., religious organizations, community centers). Health communication is an important area for prevention. Increased efforts are needed to develop culturally appropriate health messages and equally important to deliver these messages in the context in which Asian older adults trust and use the most.

Chinese older adults' Internet use for health information.

Science.gov (United States)

Wong, Carmen K M; Yeung, Dannii Y; Ho, Henry C Y; Tse, Kin-Po; Lam, Chun-Yiu

2014-04-01

Technological advancement benefits Internet users with the convenience of social connection and information search. This study aimed at investigating the predictors of Internet use to search for online health information among Chinese older adults. The Technology Acceptance Model (TAM) was applied to examine the predictiveness of perceived ease of use, perceived usefulness, and attitudes toward Internet use on behavioral intention to search for health information online. Ninety-eight Chinese older adults were recruited from an academic institute for older people and community centers. Frequency of Internet use and physical and psychological health were also assessed. Results showed that perceived ease of use and attitudes significantly predicted behavioral intention of Internet use. The potential influences of traditional Chinese values and beliefs in health were also discussed.

The Silence of Our Science: Nursing Research on LGBT Older Adult Health.

Science.gov (United States)

Cloyes, Kristin G

2016-01-01

Lesbian, gay, bisexual, and transgender (LGBT) older adults have been largely invisible within health and aging services research, despite being disproportionately burdened by poor health and aging outcomes. The current study examines the prevalence of LGBT aging and older adult health-related studies in the 2010-2014 nursing literature, and how this topic is being addressed. Systematic CINAHL and PubMed searches were conducted and compared to (a) quantify the prevalence of LGBT older adult-related scholarship in nursing research; (b) document the appearance of relevant publications in top nursing journals; (c) identify the focus of articles with a substantive focus on LGBT older adult health or aging; and (d) compare the prevalence of LGBT older adult-related literature in nursing, gerontology, medicine, and social work. Findings indicate that research explicitly including LGBT older adults is lacking across the health sciences, particularly in nursing (where it has been largely absent). Implications for nursing research, practice, and education are discussed. Copyright 2016, SLACK Incorporated.

A recalculation of the age dependent dose-effect-relationship of the life span study of Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Kottbauer, M.M.; Fleck, C.M.; Schoellnberger, H.

1996-01-01

The basis of the presented model is the multistage process of carcinogenesis as a biological effect. It provides simultaneously the age-dependent mortality of spontaneous and radiation induced solid tumors and dose-effect relationships at any age after exposure. The model has been used to describe the solid cancer mortality rates of the atomic bomb survivors of Hiroshima and Nagasaki. It has characteristics of both relative and absolute risk projections depending on the age of exposure. (author)

Meeting Recommended Levels of Physical Activity in Relation to Preventive Health Behavior and Health Status Among Adults

Directory of Open Access Journals (Sweden)

Peter D. Hart

2017-01-01

Full Text Available Objectives The purpose of this study was to examine the relationship of meeting the recommended levels of physical activity (PA with health status and preventive health behavior in adults. Methods A total of 5630 adults 18 years of age or older were included in this study. PA was assessed using a series of questions that categorized activities based on their metabolic equivalent values and then categorized individuals based on the reported frequency and duration of such activities. Participants reporting 150 minutes or more of moderate-intensity PA per week were considered to have met the PA guidelines. Multiple logistic regression was used to model the relationships between meeting PA guidelines and health status and preventive health behavior, while controlling for confounding variables. Results Overall, 53.9% (95% confidence interval [CI], 51.9 to 55.9% of adults reported meeting the recommended levels of PA. Among adults with good general health, 56.9% (95% CI, 54.7 to 59.1% reported meeting the recommended levels of PA versus 43.1% (95% CI, 40.9 to 45.3% who did not. Adults who met the PA guidelines were significantly more likely not to report high cholesterol, diabetes, chronic obstructive pulmonary disease, arthritis, asthma, depression, or overweight. Furthermore, adults meeting the PA guidelines were significantly more likely to report having health insurance, consuming fruits daily, consuming vegetables daily, and not being a current cigarette smoker. Conclusions In this study, we found meeting the current guidelines for PA to have a protective relationship with both health status and health behavior in adults. Health promotion programs should focus on strategies that help individuals meet the current guidelines of at least 150 minutes per week of moderate-intensity PA.

Mail survey on cardiovascular disease study, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Kato, Hiroo; Johnson, K G; Yano, Kasuhiko

1966-07-21

A mail survey was conducted on 13,000 males in the JNIH-ABCC Life Span Study population aged 40 to 69 in January 1965. The information sought was largely related to what are considered to be risk factors in the development of cerebral and cardiovascular diseases. The questionnaire included such items as residential history, occupation, physical activity, smoking, dietary custom, educational history, medical history, and family history. The final response rate was high (93%) after three mailings and supplemental field visits. As a preliminary analysis, the distribution of these variables was compared by city and exposure status. This analysis revealed that Hiroshima subjects were more educated, were more often managers, clerical workers, and sales workers, performed less physical activity, had more living space and ate a more Western type diet than Nagasaki subjects. It was also shown that the distribution of such variables as place of birth, present address, occupation, marital status, and education differed by the exposure status of subjects. Some methodological problems inherent in a mail survey such as completeness and reliability of obtained information were discussed. 15 references, 1 figure, 28 tables.

Oral health literacy and information sources among adults in Tehran, Iran.

Science.gov (United States)

Sistani, M M Naghibi; Yazdani, R; Virtanen, J; Pakdaman, A; Murtomaa, H

2013-09-01

To assess oral health literacy level and oral health information of Iranian adults in Tehran, and to determine the factors related to oral health literacy. A cross-sectional population study. A random sample of 1,031 adults in Tehran, Iran. Oral health literacy was measured using an oral health adult literacy questionnaire (OHL-AQ). Variation in use of information sources by socio-economic and demographic background was estimated by odds ratios. A multiple linear regression model served to determine predictor factors of OHL-AQ scores controlling for characteristics of the subjects and number of information sources. The mean OHL-AQ score was 10.5 (sd 3.0). Women (p information were dentists (52.6%), and TV/Radio (49.5%). According to the regression model, females (p = 0.001), high educational level (p information sources (two sources p = 0.01, three sources or more p = 0.002) were the main predictor factors of OHL-AQ scores. The average oral health literacy level of Iranian adults was low. Disseminating evidence-based oral health care information from multiple sources including TV/radio, dentists, and other health professionals in different settings should improve public oral health literacy.

Relationship between health service use and health information technology use among older adults: analysis of the US National Health Interview Survey.

Science.gov (United States)

Choi, Namkee

2011-04-20

Older adults are the most frequent and heaviest users of health services in the United States; however, previous research on older adults' use of health information technology (HIT) has not examined the possible association of HIT use among older adults with their use of health services. This study examined the relationship between US older adults' use of health services and their use of the Internet for health-related activities, controlling for socioeconomic characteristics and aging-related limitations in sensory and cognitive function. It also examined gender differences in the pattern of association between the types of health services used and HIT use. The data for this study were drawn from the 2009 US National Health Interview Survey (NHIS), which was the first nationally representative household survey to collect data on HIT (Internet) use. First, the rates of lifetime and 12-month HIT use among sample adults (n = 27,731) by age group (18-29 to 85 and over) were analyzed. Second, bivariate analysis of sociodemographic characteristics, health status, and health service use by HIT use status among those aged 65 or older (n = 5294) was conducted. Finally, multivariate binary logistic regression analysis was used to test the study hypotheses with 12-month HIT use as the dependent variable and 12-month health service uses among the age group 65 or older as possible correlates. The rates of HIT use were significantly lower among the age groups 65 or older compared with the younger age groups, although the age group 55 to 64 was not different from those younger. The rates of HIT use decreased from 32.2% in the age group 65 to 74 to 14.5% in the age group 75 to 84 and 4.9% in the 85 and older age group. For both genders, having seen or talked to a general practitioner increased the odds of HIT use. However, having seen or talked to a medical specialist, eye doctor, or physical therapist/occupational therapist (PT/OT) were significantly associated with HIT use only

Health effects models for off-site radiological consequence analysis of nuclear reactor accidents

International Nuclear Information System (INIS)

Togawa, Orihiko; Homma, Toshimitsu; Matsuzuru, Hideo; Kobayashi, Sadayoshi

1991-02-01

A first version of models has been developed for predicting the number of occurrences of health effects induced by radiation exposure in nuclear reactor accidents. The models are based on the health effects models developed originally by Harvard University (NUREG/CR-4214). These models are revised on the basis of the new information on risk estimates by the reassessment of the radiation dosimetry in Hiroshima and Nagasaki. The models deal with the following effects: (1) early effects models for bone marrow, lungs, gastrointestinal tract, central nervous system, thyroid, skin and reproductive organs, using the Weibull function, (2) late somatic effects models including leukemia and cancers of breast, lungs, thyroid, gastrointestinal tract and so forth, on the basis of the information derived from epidemiological studies on the atomic bomb survivors of Hiroshima and Nagasaki, (3) models for late and developmental effects due to exposure in utero. (author)

Mental Health Problems in Adults with Williams Syndrome

Science.gov (United States)

Stinton, Chris; Elison, Sarah; Howlin, Patricia

2010-01-01

Although many researchers have investigated emotional and behavioral difficulties in individuals with Williams syndrome, few have used standardized diagnostic assessments. We examined mental health problems in 92 adults with Williams syndrome using the Psychiatric Assessment Schedule for Adults with Developmental Disabilities--PAS-ADD (Moss,…

2014 Child and Adult Health Care Quality Measures

Data.gov (United States)

U.S. Department of Health & Human Services — Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2014 reporting. Dataset contains...

2016 Child and Adult Health Care Quality Measures

Data.gov (United States)

U.S. Department of Health & Human Services — Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2016 reporting. Source: Mathematica...

2015 Child and Adult Health Care Quality Measures

Data.gov (United States)

U.S. Department of Health & Human Services — Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2015 reporting. Source: Mathematica...

Mental retardation in children exposed in utero to the atomic bomb - Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Wood, J W; Johnson, K G; Omori, Yoshiaki; Kawamoto, Sadahisa; Keehn, R J

1966-05-19

Subjects who were exposed in utero to the atomic bombs in Hiroshima and Nagasaki, along with suitable controls, are examined annually at ABCC. Of the 1613 subjects in the study sample, 30 have gross mental retardation. Within 1500 m from the hypocenter the prevalence of mental retardation is 5 times as high as for the more distal subjects, and 6 to 15 weeks gestation was the most sensitive period. Even when subjects with possible explanations for their retardation are excluded the pattern of differences remains the same. All but two of the retarded subjects had a smaller than average head and for those who were within 1500 m this effect is accentuated. 17 references, 2 figures, 8 tables.

Oral health literacy and oral health outcomes in an adult population in Brazil.

Science.gov (United States)

Batista, Marília Jesus; Lawrence, Herenia Procopio; Sousa, Maria da Luz Rosário de

2017-07-26

To investigate the association between critical and communicative oral health literacy (OHL) and oral health outcomes (status, oral health-related quality of life and practices) in adults. This cross-sectional study examined a household probability sample of 248 adults, representing 149,635 residents (20-64 years old) in Piracicaba-SP, Brazil. Clinical oral health and socioeconomic and demographic data, as well as data on oral health-related quality of life (OHIP-14) and health practices were collected. The oral examinations were carried out in the participants' homes, using the World Health Organization criteria for oral diseases. The critical and communicative OHL instrument was the primary independent variable, and it was measured using five Likert items that were dichotomized as 'high' ('agree' and 'strongly agree' responses for the 5 items) and 'low' OHL. Binary and multinomial logistic regressions were performed on each outcome (oral health status and practices), controlling for age, sex and socioeconomic status (SES). Approximately 71.5% presented low OHL. When adjusted for age and sex (first model) low OHL was associated with untreated caries (Odds Ratio = 1.92, 95% Confidence Interval = 1.07-3.45), tooth brushing oral health impact on quality of life (OR = 2.06, 1.15-3.69). Adjusting for age, sex and SES, OHL is related to a risk factor (biofilm) and a consequence of poor oral health (emergency dental visits) and can interfere with the impact of oral diseases on quality of life. As low OHL can be modified, the results support oral health promotion strategies directed at improving critical and communicative oral health literacy in adult populations.

Effect on intelligence test score of prenatal exposure to ionizing radiation in Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Schull, W.J.; Otake, Masanori; Yoshimaru, Hiroshi.

1988-10-01

Analyses of intelligence test scores (Koga) at 10-11 years of age of individuals exposed prenatally to the atomic bombing of Hiroshima and Nagasaki using estimates of the uterine absorbed dose based on the recently introduced system of dosimetry, the Dosimetry System 1986 (DS86), reveal the following: 1) there is no evidence of a radiation-related effect on intelligence among those individuals exposed within 0-7 weeks after fertilization or in the 26th or subsequent weeks; 2) for individuals exposed at 8-15 weeks after fertilization, and to a lesser extent those exposed at 16-25 weeks, the mean tests scores but not the variances are significantly heterogeneous among exposure categories; 3) the cumulative distribution of test scores suggests a progressive shift downwards in individual scores with increasing exposure; and 4) within the group most sensitive to the occurrence of clinically recognizable severe mental retardation, individuals exposed 8 through 15 weeks after fertilization, the regression of intelligence score on estimated DS86 uterine absorbed dose is more linear than with T65DR fetal dose, the diminution in intelligence score under the linear model is 21-29 points at 1Gy. The effect is somewhat greater when the controls receiving less than 0.01 Gy are excluded, 24-33 points at 1 Gy. These findings are discussed in the light of the earlier analysis of the frequency of occurrence of mental retardation among the prenatally exposed survivors of the A-bombing of Hiroshima and Nagasaki. It is suggested that both are the consequences of the same underlying biological process or processes. (author)

The relationship between physical ill-health and mental ill-health in adults with intellectual disabilities.

Science.gov (United States)

Dunham, A; Kinnear, D; Allan, L; Smiley, E; Cooper, S-A

2018-05-01

People with intellectual disabilities face a much greater burden and earlier onset of physical and mental ill-health than the general adult population. Physical-mental comorbidity has been shown to result in poorer outcomes in the general population, but little is known about this relationship in adults with intellectual disabilities. To identify whether physical ill-health is associated with mental ill-health in adults with intellectual disabilities and whether the extent of physical multi-morbidity can predict the likelihood of mental ill-health. To identify any associations between types of physical ill-health and mental ill-health. A total of 1023 adults with intellectual disabilities underwent comprehensive health assessments. Binary logistic regressions were undertaken to establish any association between the independent variables: total number of physical health conditions, physical conditions by International Classification of Disease-10 chapter and specific physical health conditions; and the dependent variables: problem behaviours, mental disorders of any type. All regressions were adjusted for age, gender, level of intellectual disabilities, living arrangements, neighbourhood deprivation and Down syndrome. The extent of physical multi-morbidity was not associated with mental ill-health in adults with intellectual disabilities as only 0.8% of the sample had no physical conditions. Endocrine disease increased the risk of problem behaviours [odds ratio (OR): 1.22, 95% confidence interval (CI): 1.02-1.47], respiratory disease reduced the risk of problem behaviours (OR: 0.73, 95% CI: 0.54-0.99) and mental ill-health of any type (OR: 0.73, 95% CI: 0.58-0.92), and musculoskeletal disease reduced the risk of mental ill-health of any type (OR: 0.84, 95% CI: 0.73-0.98). Ischaemic heart disease increased the risk of problem behaviours approximately threefold (OR: 3.29, 95% CI: 1.02-10.60). The extent of physical multi-morbidity in the population with intellectual

Mental Health, Substance Abuse, and Suicide Among Homeless Adults.

Science.gov (United States)

Lee, Kyoung Hag; Jun, Jung Sim; Kim, Yi Jin; Roh, Soonhee; Moon, Sung Seek; Bukonda, Ngoyi; Hines, Lisa

2017-01-01

This study explored the role of mental health and substance abuse problems on the suicidal ideation and suicide attempts of 156 homeless adults. The logistic regression results indicated that homeless adults with anxiety were significantly more likely than those without anxiety to have both suicidal ideation and suicide attempts. Also, homeless adults with drug abuse were significantly more likely than those without drug abuse to have suicidal ideation. The study suggests that to reduce the suicide of the homeless, case managers need to screen mental health and substance abuse issues and to provide appropriate treatment services at homeless shelters.

Differences in health status and health behaviour among young Swiss adults between 1993 and 2003.

Science.gov (United States)

Mohler-Kuo, Meichun; Wydler, Hans; Zellweger, Ueli; Gutzwiller, Felix

2006-07-22

Very few studies specifically have examined the health status of 20-year-olds. The purpose of the present study is to examine the changes in health status and behaviour among young Swiss adults between 1993 and 2003. The present study used data from the Swiss Federal Surveys of Adolescents, conducted in 1993 and 2003 among 20-year-olds in Switzerland. The study sample included military recruits and a representative community cohort. More than 20,000 subjects participated in each survey. Young adults in 2003 reported fewer traffic- and sports-related accidents, but more work-related and other accidents versus young adults in 1993. A greater percentage of men were overweight or obese in 2003. Also in 2003, a greater percentage of males and females regularly used alcohol, cigarettes and cannabis. In particular, the number that smoked cigarettes daily increased by almost 30% and daily cannabis users increased more than two-fold. Young adults reported higher rates of inter-personal violence and theft in 2003. Compared to 1993, in 2003 young adults were more likely to report a sense of coherence; they also had fewer thoughts of suicide, but a greater sense that life is meaningless. Our study provides the first Swiss data comparing the health status of 20-year-olds a decade apart. The findings suggest a significant increase in substance use. Health prevention efforts among young adults ages 18-24 should focus on substance use. In addition, developing strategies to decrease interpersonal violence, delinquent behaviour, and obesity should be a major public health priority.

Education for hydraulics and pnuematics in Department of Computer Science, Faculty of Information Sciences, Hiroshima City University; Hiroshima shiritsudaigaku ni okeru yukuatsu kyoiku

Energy Technology Data Exchange (ETDEWEB)

Sano, M. [Hiroshima City University, Hiroshima (Japan)

2000-03-15

Described herein is education of hydraulics and pneumatics in Hiroshima City University. Department of Computer Science is responsible for the education, covering a wide educational range from basics of information processing methodology to application of mathematical procedures. This university provides no subject directly related to hydraulics and pneumatics, which, however, can be studied by the courses of control engineering or modern control theories. These themes are taken up for graduation theses for bachelors and masters; 2 for dynamic characteristics of pneumatic cylinders, and one for pneumatic circuit simulation. Images of the terms hydraulics and pneumatics are outdated for students of information-related departments. Hydraulics and pneumatics are being forced to rapidly change, like other branches of science, and it may be time to make a drastic change from hardware to software, because their developments have been excessively oriented to hardware. It is needless to say that they are based on hardware, but it may be worthy of drastically changing these branches of science by establishing virtual fluid power systems. It is also proposed to introduce the modern multi-media techniques into the education of hydraulics and pneumatics. (NEDO)

Immunohistochemical analysis of colorectal cancer among atomic bomb survivors in Hiroshima

International Nuclear Information System (INIS)

Yamamoto, Masami; Yamamoto, Tetsuro; Hata, Jotaro; Nakagawa, Hitoshi; Nakatsuka, Hirofumi; Tahara, Eiichi.

1987-01-01

In order to elucidate the biological characteristics of colorectal cancer among atomic bomb survivors in Hiroshima, a total of 159 cases of colorectal cancers comprising 73 cases in exposed atomic bomb survivors and 86 cases in non-exposed individuals were examined histologically and immunohistochemically for various functioning proteins. No statistical differences could be demonstrated in the incidence of various marker expressions of colorectal cancers between the exposed group and control group. However, comparison by the site of colorectal cancer showed that sigmoid colon cancers in the exposed group or high dose group showed a significantly higher frequency of glycoproteins such as α 1 -antichymotrypsin (ACT), secretory component (SC), α 1 -antitrypsin (AAT), and human chorionic gonadotropin (HCG) when compared with the control group. These results correlated well with the epidemiological data that the radiation effect on the incidence of colorectal cancer in atomic bomb survivors was most remarkable in the sigmoid colon. (author)

The relationship of HBsub(s) antigen and antibody to atomic bomb radiation in the adult health study sample, 1975-77

International Nuclear Information System (INIS)

Kato, Hiroo; Mayumi, Makoto; Nishioka, Kusuya; Hamilton, H.B.

1983-01-01

A study was conducted on the frequency of HBsub(s) positive antigen and antibody reactions as an index for determining whether there is any change in the immune competence as a late observable effect of atomic bomb exposure in Hiroshima and Nagasaki. There was no difference between the two comparison groups in the occurrence of positive HBsub(s) antibody reactions (prevalence of HB virus). However, the frequency of positive HBsub(s) antigen reactions (79% remained persistently antigen-positive) was significantly higher in those exposed to 100 rad or more than in the controls. The same tendency was apparent for the two exposure groups when classified by sex, city, and age, though by age the difference between exposure groups among the younger age groups (age 20 or less at the time of the bomb) was more marked. On the other hand, contrary to expectation, there was no difference between exposure groups in the distribution by high vs low titers among the antigen-positive individuals. There is no difference in the prevalence of positive HBsub(s) antibody reactions between Nagasaki and Hiroshima, but the frequency of positive antigen reactions is higher in Nagasaki. With respect to HBsub(s) antigen subtypes, adr occurs in a higher and adw in a lower frequency in Nagasaki than in Hiroshima, corresponding to earlier reports for the Japan archipelago of reverse and complementary distributions of these two subtypes. (author)

Experiences of Autism Acceptance and Mental Health in Autistic Adults

Science.gov (United States)

Cage, Eilidh; Di Monaco, Jessica; Newell, Victoria

2018-01-01

Mental health difficulties are highly prevalent in individuals on the autism spectrum. The current study examined how experiences and perceptions of autism acceptance could impact on the mental health of autistic adults. 111 adults on the autism spectrum completed an online survey examining their experiences of autism acceptance, along with…

Socioeconomic inequalities in oral health among adults in Tehran, Iran.

Science.gov (United States)

Ghorbani, Z; Ahmady, A Ebn; Ghasemi, E; Zwi, A B

2015-03-01

To identify the socioeconomic distribution of perceived oral health among adults in Tehran, Iran. A cross-sectional population study. A stratified random sample of 1,100 adults aged 18-84 years living in Tehran. Self-report data were obtained from the 2010 dental telephone interview survey. Oral health was evaluated using self-assessed non-replaced extracted teeth (NRET), and a three-item perceived dental health instrument. Socioeconomic status was measured by combining the variables of education and assets using principal component analysis. Inequalities in oral health were examined using prevalence ratios and concentration index. The poorest quintile was 1.60 (95% confidence interval, CI, 1.30; 1.98) times as likely to have any NRET compared with the richest quintile, indicating a disparity. Inequality was most pronounced in the 35-59 age group with prevalence ratio 2.01 (95% CI 1.26; 3.05). The concentration index of NRET in adults in Tehran was -0.22 (95% CI -0.28; -0.16). No significant differences were found in perceived dental health between socioeconomic classes. Adults from lower socioeconomic classes experienced more disabilities due to missing their teeth, specifically in the middle-age group. Inequalities in perceived dental health were not apparent in the studied population.

Health profile for Danish adults with activity limitation

DEFF Research Database (Denmark)

Johnsen, Nina Føns; Davidsen, Michael; Michelsen, Susan Ishøy

2017-01-01

with no AL. There was no association between alcohol and AL and no association between fast food and some AL. CONCLUSION: Danish adults with AL experience a poorer health and well-being, and have an unhealthier lifestyle and poorer social relations than adults without AL. People with activity limitation...

Obesity and Associated Health Disparities Among Understudied Multiracial, Pacific Islander, and American Indian Adults.

Science.gov (United States)

Subica, Andrew M; Agarwal, Neha; Sullivan, J Greer; Link, Bruce G

2017-12-01

This study examined the state of obesity, diabetes, and associated health disparities among understudied multiracial, Native Hawaiian and Other Pacific Islander (NHOPI), and American Indian and Alaskan Native (AIAN) adults. Aggregated data for 184,617 adults from the California Health Interview Survey (2005 to 2011) were analyzed to determine obesity, diabetes, poor/fair health, and physical disability prevalence by racial group. Logistic regressions controlling for age, gender, and key social determinants (education, marital status, poverty, health insurance) generated multiracial, NHOPI, and AIAN adults' odds ratios (ORs) for our targeted health conditions versus non-Hispanic white adults. Obesity, diabetes, and other targeted health conditions were highly prevalent among multiracial, NHOPI, and AIAN adults, who displayed significantly greater adjusted odds than non-Hispanic white adults for obesity (ORs = 1.2-1.9), diabetes (ORs = 1.6-2.4), poor/fair health (ORs = 1.4-1.7), and, with the exception of NHOPI adults, physical disability (ORs = 1.5-1.6). Multiracial and AIAN adults with obesity also had significantly higher adjusted odds of diabetes (OR = 1.5-2.6) than non-Hispanic white adults with obesity. Multiracial, NHOPI, and AIAN adults experience striking obesity-related disparities versus non-Hispanic white adults, urging further disparities research with these vulnerable minority populations. © 2017 The Obesity Society.

Acceptability of mobile health interventions to reduce inactivity-related health risk in central Pennsylvania adults

Directory of Open Access Journals (Sweden)

Chih-Hsiang Yang

2015-01-01

Full Text Available Insufficient physical activity and excessive sedentary behavior elevate health risk. Mobile applications (apps provide one mode for delivering interventions to modify these behaviors and reduce health risk. The purpose of this study was to characterize the need for and acceptability of health behavior interventions among rural adults and evaluate the interest in and the value of app-based interventions in this population. Central Pennsylvania adults with smartphones (N = 258 completed a brief web survey in October–November 2012. Most adults report one or both inactivity-related behavioral risk factors, would use a free app to modify those risk behaviors, and would pay a small amount for that app. Low-cost, efficacious apps to increase physical activity or reduce sedentary behavior should be promoted in public health practice. User experience should be at the forefront of this process to increase value and minimize burden in the service of long-term engagement, behavior change, and health risk reduction.

Relationship between massage therapy usage and health outcomes in older adults.

Science.gov (United States)

Munk, Niki; Zanjani, Faika

2011-04-01

Physical and emotional decline in older adults is a serious issue affecting not only quality of life but also susceptibility to injury. Non-pharmacological interventions addressing the needs of older adults are important for reducing medication burden and possible drug interactions. This study (N=144) examines the potential of massage therapy as such an intervention for older adults by comparing self-reported health outcome scores among adults 60 and older who have and have not utilized massage therapy in the past year. When controlling for age and cumulative morbidities, older adults who reported massage therapy usage in the past year had significantly better health outcome scores in the following domains: 1) emotional well-being, 2) limitations due to physical issues, and 3) limitations due to emotional issues. Because previous massage therapy research has not included or focused on older adults, studies examining massage therapy and emotional health, specifically among this population, are warranted. Copyright © 2010 Elsevier Ltd. All rights reserved.

Autism spectrum disorder in adults: diagnosis, management, and health services development

Directory of Open Access Journals (Sweden)

Murphy CM

2016-07-01

Full Text Available Clodagh M Murphy,1,2 C Ellie Wilson,1–3 Dene M Robertson,1,2 Christine Ecker,1,4 Eileen M Daly,1,2 Neil Hammond,1,2 Anastasios Galanopoulos,1,2 Iulia Dud,1,2 Declan G Murphy,1,2 Grainne M McAlonan1,2 1Sackler Institute for Translational Neurodevelopment, Department of Forensic and Neurodevelopmental Sciences, King’s College London, Institute of Psychiatry, Psychology & Neuroscience, 2Behavioural and Developmental Psychiatry Clinical Academic Group, Behavioural Genetics Clinic, National Adult Autism Service, South London and Maudsley Foundation NHS Trust, London, UK; 3Individual Differences, Language and Cognition Lab, Department of Developmental and Educational Psychology, University of Seville, Spain; 4Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital, Goethe-University, Frankfurt am Main, Germany Abstract: Autism spectrum disorder (ASD is a common neurodevelopmental disorder characterized by pervasive difficulties since early childhood across reciprocal social communication and restricted, repetitive interests and behaviors. Although early ASD research focused primarily on children, there is increasing recognition that ASD is a lifelong neurodevelopmental disorder. However, although health and education services for children with ASD are relatively well established, service provision for adults with ASD is in its infancy. There is a lack of health services research for adults with ASD, including identification of comorbid health difficulties, rigorous treatment trials (pharmacological and psychological, development of new pharmacotherapies, investigation of transition and aging across the lifespan, and consideration of sex differences and the views of people with ASD. This article reviews available evidence regarding the etiology, legislation, diagnosis, management, and service provision for adults with ASD and considers what is needed to support adults with ASD as they age. We conclude

Health Equity and Aging of Bisexual Older Adults: Pathways of Risk and Resilience.

Science.gov (United States)

Fredriksen-Goldsen, Karen I; Shiu, Chengshi; Bryan, Amanda E B; Goldsen, Jayn; Kim, Hyun-Jun

2017-05-01

Bisexual older adults are a growing yet largely invisible, underserved, and understudied population. Utilizing the Health Equity Promotion Model, we examined hypothesized mechanisms accounting for health disparities between bisexual older adults and lesbian and gay older adults. Based on data from Caring and Aging with Pride, the largest national survey of LGBT older adults, this study (N = 2,463) utilized structural equation modeling to investigate direct and indirect associations between sexual identity (bisexual vs. lesbian and gay) and health via sexual identity factors (identity disclosure and internalized stigma), social resources, and socioeconomic status (SES). Bisexual older adults reported significantly poorer health compared with lesbian and gay older adults. Indirect effects involving sexual identity factors, social resources, and SES explained the association between bisexual identity and poorer health. A potentially protective pathway was also identified wherein bisexuals had larger social networks after adjusting for other factors. Bisexual older adults face distinct challenges and health risks relative to other older adults, likely because of the accumulation of socioeconomic and psychosocial disadvantages across the life course. Interventions taking into account older bisexuals' unique risk and protective factors may be helpful in reducing health inequities. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Swarm slide - debris flow disaster induced by extreme rainfall in Hiroshima, August 2014 and lessons learnt in urban designing

Science.gov (United States)

Fukuoka, H.; Wang, C.

2015-12-01

Hiroshima city was hit by swarm debris flows along a narrow, and linear-shaped rain band of 2 km x 10 km which appeared in the early morning of August 20, 2014. Most of the flows were induced by shallow slide in the upstream. This disaster claimed 74 death, although this city experienced very similar disaster in 1999, claiming more than 30 residents lives. In the most severely affected debris flow torrent, more than 50 residents were killed. Most of the casualties arose in the wooden, vulnerable houses constructed in front of the exit of torrents. Points and lessons learnt from the disaster are as follows:1. Authors collected two types of sands from the source scar of the initial debris slides which induced debris flows. Tested by the ring shear apparatus under pore-pressure control condition, clear "Sliding surface liquefaction" was confirmed for both samples even under small normal stress, representing the small thickness of the slides. These results shows even instant excess pore pressure could initiate the slides and trigger slide-induced debris flow byundrained loading onto the torrent deposits.2. Apparently long-term land-use change since 1945 affected and raised the vulnerability of the community. Residential area had expanded into hill-slope (mountainous / semi-mountainous area) especially along the torrents. Those communities were developed on the past debris flow fan.3. As the devastated area is very close to downtown of Hiroshima city, it gave large societal impact to the Japanese citizens. After 1999 Hiroshima debris flow disaster, the Landslide disaster reduction law which intends to promote designation of landslide potential risk zones, was adopted in 2000. Immediately after 2014 disaster, national diet approved revision of the bill to promote rapid completion of the designation over the national territory. MLIT (Ministry of Land, Infrastructure, Tranportation and Tourism) decided to install X-band rain radars at more sites to cover whole city zones

Selected Health Status Indicators and Behaviors of Young Adults, United States-2003

Science.gov (United States)

Eaton, Danice K.; Kann, Laura; Okoro, Catherine A.; Collins, Janet

2007-01-01

This study examined the prevalence of selected clinical preventive health services, health status indicators, health risk behaviors, and health-promoting behaviors among adults aged 18 to 24 years in the general U.S. population. The study analyzed data from the 2003 Behavioral Risk Factor Surveillance System. Nearly 30% of young adults lacked…

Leukemia in Hiroshima atomic bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Heyssel, R; Brill, A B; Woodbury, L A; Nishimura, Edwin T; Ghose, Tarunendu; Hoshino, Takashi; Yamasaki, Mitsuru

1959-03-01

This report is intended to provide the basic data pertinent to the leukemia experience observed in the survivors of the Hiroshima atomic explosion. Many of the conclusions in this report are tentative. The one clear fact to emerge is that radiation increases the occurrence rate of leukemia and that the magnitude of increase is dependent on dose received. Additional observations can be made, which, while not definitive in themselves, seem to complement each other, and are corroborated by other experiences in radiation biology. From the data a linear relationship between dose and incidence of leukemia is found. The shape of the relation in the lower dose range is not known with certainty. An approximate minimum time for the appearance of leukemia following radiation is 3 years or less. The data suggest that the time of maximum risk of leukemia may be dependent on the dose of radiation received. In this group the mean latent period is found to lie in the interval between 4 and 8 years following exposure. The length of time during which the increased incidence of leukemia persists is not known. The incidence of the acute leukemias and of chronic granulocytic leukemia is increased in the exposed survivors. The chronic granulocytic variety is disproportionately increased in Japanese survivors of the atomic bomb. No effect of radiation on monocytic or chronic lymphatic leukemia incidence is noted. Aplastic anemia, polycythemia vera, and myelofibrosis have been investigated. Myelofibrosis is the only one of this group of diseases in which a suggestive relation to radiation exposure is apparent. The natural history of leukemia following radiation does not seem to differ from that of the spontaneously occurring variety. 17 references, 5 figures, 38 tables.

Utilization of Preventive Health Care in Adults and Children With Eczema.

Science.gov (United States)

Strom, Mark A; Silverberg, Jonathan I

2016-02-01

Chronic disease is a barrier to delivery of preventive health care and health maintenance. However, health behaviors of adults and children with eczema, a chronic skin disorder, have not been examined. This study examined associations of eczema with vaccination, disease screening, health maintenance, and healthcare utilization. This study investigated 34,613 adults and 13,298 children from the 2012 National Health Interview Survey, a prospective questionnaire-based study. Data were analyzed between August 2014 and January 2015. Adult eczema was associated with higher odds of vaccination for tetanus (OR [95% CI]=1.37 [1.22, 1.54]); influenza (1.23 [1.10, 1.37]); hepatitis A (1.21 [1.04, 1.41]) and B (1.21 [1.07, 1.35]); human papilloma virus (1.66 [1.32, 2.08]); and pneumonia (1.35 [1.19, 1.54]), but not herpes zoster virus (1.07 [0.87, 1.31]). Adult eczema was associated with increased measurement of blood glucose (1.29 [1.16, 1.44]); cholesterol (1.19 [1.06, 1.34]); blood pressure (1.84 [1.56, 2.08]); and HIV infection (1.50 [1.34, 1.70]), but not Pap smears (1.11 [0.95, 1.30]); colon cancer screening (p=0.17); or mammograms (p=0.63). Adults with eczema were more likely to interact with general doctors, mid-level providers, mental health professionals, eye doctors, podiatrists, chiropractors, therapists, obstetrician/gynecologists, and other specialists (p≤0.01). Childhood eczema was associated with higher rates of vaccination for influenza (pEczema in adults and children is associated with greater utilization of preventive health care and health maintenance, but not cancer screening. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Aging in Hiroshima and Nagasaki atomic bomb survivors: soluble--insoluble collagen ratio

Energy Technology Data Exchange (ETDEWEB)

Anderson, R E; Yamamoto, T; Thorslund, T W

1973-01-01

The soluble--insoluble collagen ratio was determined in aortas removed at autopsy during the period 1966--70 (21--25 years post-exposure); 261 specimens were examined from persons of both sexes, age 30--89 years at death. A portion of the test samples were from persons located less than 1500 m from the hypocenter at the time of the bomb. The ratio in this group was not significantly different from persons who were not in Hiroshima and Nagasaki at the time of the explosions. However, a possible discrepancy was noted between the two exposure groups involving both males and females who were less than 60 years of age at the time of death with lower average values among the exposed groups. This observation is interpreted and related to the pronounced life-shortening effect of radiation when animals are exposed at a young age. (DLC)

Radiation exposure and disease questionnaires of early entrants after the Hiroshima bombing

International Nuclear Information System (INIS)

Imanaka, T.; Endo, S.; Kawano, N.; Tanaka, K.

2012-01-01

It is popularly known that people who entered into the ground-zero area shortly after the atomic bombings in Hiroshima and Nagasaki suffered from various syndromes similar to acute radiation effects. External exposures from neutron-induced radionuclides in soil have recently been reassessed based on DS02 calculations as functions of both distance from the hypo-centres and elapsed time after the explosions. Significant exposure due to induced radiation can be determined for those who entered the area within 1000 m from the hypo-centres shortly after the bombing. Although it was impossible to track the action of each of the survivors over the days or weeks following the bombings in order to make reliable dose estimates for their exposures to soil activation or fallout, four individuals among those early entrants were investigated here to describe useful information of what happened shortly after the bombing. (authors)

Bone marrow cytology in Hiroshima atomic bomb survivors 5 years following exposure

International Nuclear Information System (INIS)

Oesterle, S.N.; Finch, S.C.

1978-11-01

Bone marrow aspiration smears obtained from 35 individuals, 5 years following exposure to the Hiroshima atomic bomb, were intensively evaluated for radiation related cytologic abnormalities. No definite radiation related changes were observed, but some findings were very suggestive. The most interesting of these was the occurrence of internuclear bridges joining erythroid precursors in the marrow smears of seven (20%) of the heavily exposed survivors. Although not specific it is likely that this lesion is indicative of residual stem cell damage and some degree of ineffectual erythropoiesis. The bone marrow morphologic lesions may be good markers of residual radiation damage but they are too infrequent in their occurrence to be of value as a biologic dosimeter. The findings in this study also suggest that a gradual disappearance of radiation induced late bone marrow changes continues for periods of 3 to 5 years or more following high dose acute radiation exposure. (author)

Health Concerns and Health Service Utilization in a Population Cohort of Young Adults with Autism Spectrum Disorder

Science.gov (United States)

Weiss, Jonathan A.; Isaacs, Barry; Diepstra, Heidi; Wilton, Andrew S.; Brown, Hilary K.; McGarry, Caitlin; Lunsky, Yona

2018-01-01

Individuals with autism spectrum disorder (ASD) have many health needs that place demands on the health service sector. This study used administrative data to compare health profiles in young adults 18-24 years of age with ASD to peers with and without other developmental disability. Young adults with ASD were more likely to have almost all the…

Religiousness and health-related quality of life of older adults

Directory of Open Access Journals (Sweden)

Gina Andrade Abdala

2015-01-01

Full Text Available OBJECTIVE To examine whether religiousness mediates the relationship between sociodemographic factors, multimorbidity and health-related quality of life of older adults.METHODS This population-based cross-sectional study is part of the Survey on Health, Well-Being, and Aging (SABE. The sample was composed by 911 older adults from Sao Paulo, SP, Southeastern Brazil. Structural equation modeling was performed to assess the mediator effect of religiousness on the relationship between selected variables and health-related quality of life of older adults, with models for men and women. The independent variables were: age, education, family functioning and multimorbidity. The outcome variable was health-related quality of life of older adults, measured by SF-12 (physical and mental components. The mediator variables were organizational, non-organizational and intrinsic religiousness. Cronbach’s alpha values were: physical component = 0.85; mental component = 0.80; intrinsic religiousness = 0.89 and family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve = 0.91.RESULTS Higher levels of organizational and intrinsic religiousness were associated with better physical and mental components. Higher education, better family functioning and fewer diseases contributed directly to improved performance in physical and mental components, regardless of religiousness. For women, organizational religiousness mediated the relationship between age and physical (β = 2.401, p CONCLUSIONS Organizational and intrinsic religiousness had a beneficial effect on the relationship between age, education and health-related quality of life of these older adults.

Religiousness and health-related quality of life of older adults

Science.gov (United States)

Abdala, Gina Andrade; Kimura, Miako; Duarte, Yeda Aparecida de Oliveira; Lebrão, Maria Lúcia; dos Santos, Bernardo

2015-01-01

OBJECTIVE To examine whether religiousness mediates the relationship between sociodemographic factors, multimorbidity and health-related quality of life of older adults. METHODS This population-based cross-sectional study is part of the Survey on Health, Well-Being, and Aging (SABE). The sample was composed by 911 older adults from Sao Paulo, SP, Southeastern Brazil. Structural equation modeling was performed to assess the mediator effect of religiousness on the relationship between selected variables and health-related quality of life of older adults, with models for men and women. The independent variables were: age, education, family functioning and multimorbidity. The outcome variable was health-related quality of life of older adults, measured by SF-12 (physical and mental components). The mediator variables were organizational, non-organizational and intrinsic religiousness. Cronbach’s alpha values were: physical component = 0.85; mental component = 0.80; intrinsic religiousness = 0.89 and family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve) = 0.91. RESULTS Higher levels of organizational and intrinsic religiousness were associated with better physical and mental components. Higher education, better family functioning and fewer diseases contributed directly to improved performance in physical and mental components, regardless of religiousness. For women, organizational religiousness mediated the relationship between age and physical (β = 2.401, p religiousness mediated the relationship between education and mental component (β = 7.158, p religiousness had a beneficial effect on the relationship between age, education and health-related quality of life of these older adults. PMID:26274870

[Religiousness and health-related quality of life of older adults].

Science.gov (United States)

Abdala, Gina Andrade; Kimura, Miako; Duarte, Yeda Aparecida de Oliveira; Lebrão, Maria Lúcia; dos Santos, Bernardo

2015-01-01

To examine whether religiousness mediates the relationship between sociodemographic factors, multimorbidity and health-related quality of life of older adults. This population-based cross-sectional study is part of the Survey on Health, Well-Being, and Aging (SABE). The sample was composed by 911 older adults from Sao Paulo, SP, Southeastern Brazil. Structural equation modeling was performed to assess the mediator effect of religiousness on the relationship between selected variables and health-related quality of life of older adults, with models for men and women. The independent variables were: age, education, family functioning and multimorbidity. The outcome variable was health-related quality of life of older adults, measured by SF-12 (physical and mental components). The mediator variables were organizational, non-organizational and intrinsic religiousness. Cronbach's alpha values were: physical component = 0.85; mental component = 0.80; intrinsic religiousness = 0.89 and family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve) = 0.91. Higher levels of organizational and intrinsic religiousness were associated with better physical and mental components. Higher education, better family functioning and fewer diseases contributed directly to improved performance in physical and mental components, regardless of religiousness. For women, organizational religiousness mediated the relationship between age and physical (β = 2.401, p religiousness mediated the relationship between education and mental component (β = 7.158, p religiousness had a beneficial effect on the relationship between age, education and health-related quality of life of these older adults.

Urinary incontinence, mental health and loneliness among community-dwelling older adults in Ireland

DEFF Research Database (Denmark)

Stickley, Andrew; Santini, Ziggi Ivan; Koyanagi, Ai

2017-01-01

Background Urinary incontinence (UI) is associated with worse health among older adults. Little is known however, about its relation with loneliness or the role of mental health in this association. This study examined these factors among older adults in Ireland. Methods Data were analyzed from 6...... community-dwelling adults but this association is largely explained by comorbid mental health problems, in particular, depression.......Background Urinary incontinence (UI) is associated with worse health among older adults. Little is known however, about its relation with loneliness or the role of mental health in this association. This study examined these factors among older adults in Ireland. Methods Data were analyzed from...... 6903 community-dwelling adults aged ≥ 50 collected in the first wave of The Irish Longitudinal Study on Ageing (TILDA) in 2009–11. Information was obtained on the self-reported occurrence (yes/no) and severity (frequency/activity limitations) of UI in the past 12 months. Loneliness was measured using...

The relationship between attitudes toward aging and health-promoting behaviours in older adults.

Science.gov (United States)

Korkmaz Aslan, Gülbahar; Kartal, Asiye; Özen Çınar, İlgün; Koştu, Nazan

2017-12-01

Identifying the factors that are associated with health-promoting behaviours in older adults is necessary to increase their willingness and motivation to participate in health-promotion activities. Understanding context-specific attitudes in relation to their influence on health-promoting behaviours is crucial in designing efficient interventions that foster health-promoting behaviours among older adults. This study aimed to examine the relationships between attitudes towards aging and health-promoting behaviours in older adults in Turkey. The study used a descriptive-correlational design. A convenience sample of 448 community-dwelling older adults who were 65 years and older and cognitively intact were selected from 6 family health centres in the city of Denizli in Turkey. The data were collected between March and June of 2014 using the Attitudes to Aging Questionnaire and the Health-Promoting Lifestyle Profile II. Multiple linear regression analysis was performed to explore the predictors of health-promoting behaviours. Attitudes toward aging, the psychosocial loss subscale, and education were statistically significant predictors of health-promoting behaviours. Attitudes toward aging were the strongest predictor of health-promoting behaviours in older adults. Attitude towards aging is a factor that affects health-promoting behaviours, and it should be considered during interventions for improving health promoting behaviours. © 2017 John Wiley & Sons Australia, Ltd.

Healthy living: A health promotion program for adults with intellectual disability.

Science.gov (United States)

An, Andrea; McPherson, Lyn; Urbanowicz, Anna

2018-04-04

Adults with intellectual disability are more likely to experience a range of physical and mental health problems in comparison to the general population. However with access to appropriate health care and promotion, many of these health problems can be prevented. To explore the perspectives of stakeholders of a health promotion program established for adults with intellectual disability. Semi-structured interviews were conducted with 12 stakeholders of a health promotion program. Stakeholders included adults with intellectual disability (n = 6), their support persons (n = 4) and program presenters (n = 2). Adults with intellectual disability included three males and three females with a mean age of 45.5 years (range 37-51 years). Interviews were digitally recorded and transcribed verbatim. Transcripts were analysed using thematic analysis. Four main themes emerged from the data. The first theme highlights the positive feedback all stakeholders, especially adults with intellectual disability, had for the program and the second focuses on suggestions for changes to improve it. The third and final themes explore how having input from adults with intellectual disability and their support persons, who have a unique understanding of their needs, could be better incorporated into the development of the program. This health promotion program has been well received by people with intellectual disability when incorporated into their weekly social club meetings With encouragement and training, people with intellectual disability and their support workers could be more involved in the development of the program to ensure it is relevant to their needs. Copyright © 2018 Elsevier Inc. All rights reserved.

Defining Information Quality Into Health Websites: A Conceptual Framework of Health Website Information Quality for Educated Young Adults.

Science.gov (United States)

Tao, Donghua; LeRouge, Cynthia; Smith, K Jody; De Leo, Gianluca

2017-10-06

Today's health care environment encourages health care consumers to take an active role in managing their health. As digital natives, young educated adults do much of their health information management through the Internet and consider it a valid source of health advice. However, the quality of information on health websites is highly variable and dynamic. Little is known about the understandings and perceptions that young educated adults have garnered on the quality of information on health websites used for health care-related purposes. To fill this gap, the aim of this study was to develop a conceptual framework of health website information quality with quality dimensions (ie, criteria) and associated quality drivers (ie, attributes) specified in the context of young educated adults' use of health websites for health care-related purposes. This aim was achieved by (1) identifying information quality dimensions of health websites from the perspective of young educated adults; (2) identifying the importance ratings of these quality dimensions; and (3) constructing a framework of health website information quality with quality dimensions and associated drivers specified in the context of young educated adults' use of health websites for health care-related purposes. The study employed both qualitative and quantitative methods. Methods included semistructured group interviews and an individual quality assessment exercise grounded in visiting various websites and responding to Likert scale questions regarding the importance ratings of information quality dimensions and open-ended questions with specifying website quality drivers. Study participants included junior and senior undergraduate and graduate students in business, allied health, and public health majors. Qualitative, open-coding procedures were used to develop the conceptual framework reflecting the participants' means of assessing information quality on health websites. Five dimensions of information

The Relationship between Outdoor Activity and Health in Older Adults Using GPS

OpenAIRE

Kerr, Jacqueline; Marshall, Simon; Godbole, Suneeta; Neukam, Suvi; Crist, Katie; Wasilenko, Kari; Golshan, Shahrokh; Buchner, David

2012-01-01

Physical activity (PA) provides health benefits in older adults. Research suggests that exposure to nature and time spent outdoors may also have effects on health. Older adults are the least active segment of our population, and are likely to spend less time outdoors than other age groups. The relationship between time spent in PA, outdoor time, and various health outcomes was assessed for 117 older adults living in retirement communities. Participants wore an accelerometer and GPS device for...

Young Adults' Health Care Utilization and Expenditures Prior to the Affordable Care Act

Science.gov (United States)

Lau, Josephine S.; Adams, Sally H.; Boscardin, W. John; Irwin, Charles E.

2014-01-01

Purpose Examine young adults' health care utilization and expenditures prior to the ACA. Methods We used 2009 Medical Expenditure Panel Survey (MEPS) to 1) compare young adults' health care utilization and expenditures of a full-spectrum of health services to children and adolescents and 2) identify disparities in young adults' utilization and expenditures, based on access (insurance and usual source of care) and other socio-demographic factors, including race/ethnicity and income. Results Young adults had: 1) significantly lower rates of overall utilization (72%) than other age groups (83-88%, Pyoung adults had high out-of-pocket expenses. Compared to the young adults with private insurance, the uninsured spent less than half on health care ($1,040 vs. $2,150/ person, Pyoung adults, we identified significant disparities in utilization and expenditures based on the presence/absence of a usual source of care, race/ethnicity, home language and sex. Conclusions Young adults may not be utilizing the health care system optimally by having low rates of office-based visits and high rates of ER visits. The ACA provision of insurance for those previously uninsured or under-insured will likely increase their utilization and expenditures and lower their out-of-pocket expenses. Further effort is needed to address non-insurance barriers and ensure equal access to health services. PMID:24702839

Health insurance coverage and healthcare utilization among homeless young adults in Venice, CA.

Science.gov (United States)

Winetrobe, H; Rice, E; Rhoades, H; Milburn, N

2016-03-01

Homeless young adults are a vulnerable population with great healthcare needs. Under the Affordable Care Act, homeless young adults are eligible for Medicaid, in some states, including California. This study assesses homeless young adults' health insurance coverage and healthcare utilization prior to Medicaid expansion. All homeless young adults accessing services at a drop-in center in Venice, CA, were invited to complete a self-administered questionnaire; 70% of eligible clients participated (n = 125). Within this majority White, heterosexual, male sample, 70% of homeless young adults did not have health insurance in the prior year, and 39% reported their last healthcare visit was at an emergency room. Past year unmet healthcare needs were reported by 31%, and financial cost was the main reported barrier to receiving care. Multivariable logistic regression found that homeless young adults with health insurance were almost 11 times more likely to report past year healthcare utilization. Health insurance coverage is the sole variable significantly associated with healthcare utilization among homeless young adults, underlining the importance of insurance coverage within this vulnerable population. Service providers can play an important role by assisting homeless young adults with insurance applications and facilitating connections with regular sources of health care. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Older adults' use of complementary and alternative medicine for mental health: findings from the 2002 National Health Interview Survey.

Science.gov (United States)

Grzywacz, Joseph G; Suerken, Cynthia K; Quandt, Sara A; Bell, Ronny A; Lang, Wei; Arcury, Thomas A

2006-06-01

To compare complementary and alternative medicine (CAM) use among adults 65 and older with and without self-reported anxiety or depression, and to investigate the prevalence and predictors of CAM use for treatment by persons with anxiety or depression. Cross-sectional survey. Computer-assisted interviews conducted in participants' homes. Subjects included 5827 adults aged 65 and older who participated in the 2002 National Health Interview Survey including the Alternative Health Supplement. None. Overall use of CAM, use of four categories of CAM, and use of 20 CAM modalities. CAM use for treatment of any health condition, and CAM use to treat mental health. Eighty-one and seven tenths percent (81.7%) of older adults with self-reported anxiety or depression who used CAM in the past year, whereas 64.6% of older adults without these conditions used CAM. Differences in CAM use were driven by elevated use of spiritual practices, relaxation techniques, and use of nonvitamin, nonmineral natural products by patients with symptoms of mental conditions. Fewer than 20% of CAM users with self-reported anxiety or depression used CAM for their mental health. Few personal and health-related factors predicted CAM use for treatment among older adults with self-reported anxiety or depression. Older adults with self-reported anxiety or depression were more likely to use spiritual practices, relaxation techniques, and nonvitamin, nonmineral natural products than elders in good mental health. However, for the majority of older adults with self-reported anxiety or depression, CAM was used for purposes other than treating mental health.

Social network types among older Korean adults: Associations with subjective health.

Science.gov (United States)

Sohn, Sung Yun; Joo, Won-Tak; Kim, Woo Jung; Kim, Se Joo; Youm, Yoosik; Kim, Hyeon Chang; Park, Yeong-Ran; Lee, Eun

2017-01-01

With population aging now a global phenomenon, the health of older adults is becoming an increasingly important issue. Because the Korean population is aging at an unprecedented rate, preparing for public health problems associated with old age is particularly salient in this country. As the physical and mental health of older adults is related to their social relationships, investigating the social networks of older adults and their relationship to health status is important for establishing public health policies. The aims of this study were to identify social network types among older adults in South Korea and to examine the relationship of these social network types with self-rated health and depression. Data from the Korean Social Life, Health, and Aging Project were analyzed. Model-based clustering using finite normal mixture modeling was conducted to identify the social network types based on ten criterion variables of social relationships and activities: marital status, number of children, number of close relatives, number of friends, frequency of attendance at religious services, attendance at organized group meetings, in-degree centrality, out-degree centrality, closeness centrality, and betweenness centrality. Multivariate regression analysis was conducted to examine associations between the identified social network types and self-rated health and depression. The model-based clustering analysis revealed that social networks clustered into five types: diverse, family, congregant, congregant-restricted, and restricted. Diverse or family social network types were significantly associated with more favorable subjective mental health, whereas the restricted network type was significantly associated with poorer ratings of mental and physical health. In addition, our analysis identified unique social network types related to religious activities. In summary, we developed a comprehensive social network typology for older Korean adults. Copyright © 2016

Measurement of radon concentration in water by means of {alpha}, {gamma} spectrometry. Radon concentration in ground and spring water in Hiroshima Prefecture

Energy Technology Data Exchange (ETDEWEB)

Shizuma, Kiyoshi [Hiroshima Univ. (Japan)

1997-02-01

Radon ({sup 222}Rn, T{sub 1/2}=3.8235{+-}0.0003d) is {alpha}-ray releasing nuclide, so that it can not be detected by {gamma}-ray measurement. But, the daughter nuclides {sup 214}Pb (T{sub 1/2}=26.8 min) and {sup 214}Bi (T{sub 1/2}=19.9 min) release {gamma}-ray, accordingly they are measured by Ge detector. Their radioactive equilibrium is kept in the closed vessel, because their half-lives are shorter than that of radon. We developed a measurement method of radon concentration by means of {gamma}-spectrometry. We applied this method to catch radon in the atmosphere by active carbon. The same principle can be applied to radon in water. Radon concentrations in the ground water were measured in 22 points in the Higashi-Hiroshima city and 82 points in the Hiroshima prefecture. The efficiencies of {gamma}-ray were determined. The radon concentration showed between 11 and 459 Bq/l and the average was 123 Bq/l. The high concentration of radon was distributed in the spring of granitic layer and higher concentration of radon were observed in the ground water of fault. (S.Y.)

Adult Learning in Health and Safety: Some Issues and Approaches.

Science.gov (United States)

O Fathaigh, Mairtin

This document, which was developed for presentation at a seminar on adult learning and safety, examines approaches to occupational safety and health (OSH) learning/training in the workplace. Section 1 examines selected factors affecting adults' learning in workplace OSH programs. The principal dimensions along which individual adult learners will…

Health risks and changes in self-efficacy following community health screening of adults with serious mental illnesses.

Directory of Open Access Journals (Sweden)

Judith A Cook

Full Text Available Physical health screenings were conducted by researchers and peer wellness specialists for adults attending publicly-funded community mental health programs. A total of 457 adults with serious mental illnesses attended health fairs in 4 U.S. states and were screened for 8 common medical co-morbidities and health risk factors. Also assessed were self-reported health competencies, medical conditions, and health service utilization. Compared to non-institutionalized U.S. adults, markedly higher proportions screened positive for obesity (60%, hypertension (32%, diabetes (14%, smoking (44%, nicotine dependence (62%, alcohol abuse (17%, drug abuse (11%, and coronary heart disease (10%. A lower proportion screened positive for hyperlipidemia (7%. Multivariable random regression analysis found significant pre- to post-screening increases in participants' self-rated abilities for health practices, competence for health maintenance, and health locus of control. Screening identified 82 instances of undiagnosed diabetes, hypertension or hyperlipidemia, and 76 instances where these disorders were treated but uncontrolled. These results are discussed in the context of how this global public health approach holds promise for furthering the goal of integrating health and mental health care.

Neighborhood Environment and Self-Rated Health Among Urban Older Adults

Directory of Open Access Journals (Sweden)

Arlesia Mathis PhD

2015-09-01

Full Text Available Objective: This study examines associations between neighborhood environment and self-rated health (SRH among urban older adults. Method: We selected 217 individuals aged 65+ living in a de-industrialized Midwestern city who answered questions on the 2009 Speak to Your Health survey. The relationship between neighborhood environment and SRH was analyzed using regression models. Neighborhood variables included social support and participation, perceived racism, and crime. Additional models included actual crime indices to compare differences between perceived and actual crime. Results: Seniors who have poor SRH are 21% more likely to report fear of crime than seniors with excellent SRH ( p = .01. Additional analyses revealed Black seniors are 7% less likely to participate in social activities ( p = .005 and 4% more likely to report experiencing racism ( p < .001. Discussion: More than 80% of older adults live in urban areas. By 2030, older adults will account for 20% of the U.S. population. Given the increasing numbers of older adults living in urban neighborhoods, studies such as this one are important. Mitigating environmental influences in the neighborhood that are associated with poor SRH may allow urban older adults to maintain health and reduce disability.

Protein variants in Hiroshima and Nagasaki: tales of two cities.

Science.gov (United States)

Neel, J V; Satoh, C; Smouse, P; Asakawa, J; Takahashi, N; Goriki, K; Fujita, M; Kageoka, T; Hazama, R

1988-12-01

The results of 1,465,423 allele product determinations based on blood samples from Hiroshima and Nagasaki, involving 30 different proteins representing 32 different gene products, are analyzed in a variety of ways, with the following conclusions: (1) Sibships and their parents are included in the sample. Our analysis reveals that statistical procedures designed to reduce the sample to equivalent independent genomes do not in population comparisons compensate for the familial cluster effect of rare variants. Accordingly, the data set was reduced to one representative of each sibship (937,427 allele products). (2) Both chi 2-type contrasts and a genetic distance measure (delta) reveal that rare variants (P less than .01) are collectively as effective as polymorphisms in establishing genetic differences between the two cities. (3) We suggest that rare variants that individually exhibit significant intercity differences are probably the legacy of tribal private polymorphisms that occurred during prehistoric times. (4) Despite the great differences in the known histories of the two cities, both the overall frequency of rare variants and the number of different rare variants are essentially identical in the two cities. (5) The well-known differences in locus variability are confirmed, now after adjustment for sample size differences for the various locus products; in this large series we failed to detect variants at only three of 29 loci for which sample size exceeded 23,000. (6) The number of alleles identified per locus correlates positively with subunit molecular weight. (7) Loci supporting genetic polymorphisms are characterized by more rare variants than are loci at which polymorphisms were not encountered. (8) Loci whose products do not appear to be essential for health support more variants than do loci the absence of whose product is detrimental to health. (9) There is a striking excess of rare variants over the expectation under the neutral mutation

Long-term health effects of unintentional injuries in Danish adults

DEFF Research Database (Denmark)

Laursen, Bjarne; Møller, Hanne

2012-01-01

INTRODUCTION: The objective of the present study was to determine the prevalence of self-reported health effects of unintentional injuries in the adult Danish population, including the limitation of daily activities and perceived general health. MATERIAL AND METHODS: In the 2005 National Health...... reported poor health in general. The most severe health effects affected the head, neck and back, as well as multiple body parts. Those injuries that entailed the most severe health effects were caused by traffic injuries and falls. CONCLUSION: Long-term effects of injuries are prevalent in the adult...... population and most can be attributed to falls and traffic injuries. Back injuries and multiple injuries had the largest influence on perceived health. FUNDING: The work was supported by TrygFonden grant no. 7585-07. TRIAL REGISTRATION: not relevant....

Further observations on sex ratio among infants born to survivors of the atomic bombs, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Schull, W J; Neel, J V; Hashizume, Asaji

1965-11-18

Data are presented on the sex ratio of 47,624 children born in Hiroshima and Nagasaki during 1956 to 1962. The total number of births in these two cities for which information is available is now 140,542, and of this number in 73,994 instances one or both parents were exposed to the atomic bombs. The suggestion of an effect of exposure on sex ratio in the earlier data is not borne out by the present findings. One can argue either that a small early effect has disappeared or that the original observation had no biological significance. 27 references, 4 tables.

Investigation on circular asymmetry of geographical distribution in cancer mortality of Hiroshima atomic bomb survivors based on risk maps: analysis of spatial survival data

Energy Technology Data Exchange (ETDEWEB)

Tonda, Tetsuji; Satoh, Kenichi; Otani, Keiko; Ohtaki, Megu [Hiroshima University, Department of Environmetrics and Biometrics, Research Institute for Radiation Biology and Medicine (Japan); Sato, Yuya [Hiroshima University, Division of Radiation Information Registry, Research Institute for Radiation Biology and Medicine (Japan); Maruyama, Hirofumi; Kawakami, Hideshi [Hiroshima University, Department of Epidemiology, Research Institute for Radiation Biology and Medicine (Japan); Tashiro, Satoshi [Hiroshima University, Division of Radiation Information Registry, Research Institute for Radiation Biology and Medicine (Japan); Hiroshima University, Department of Cellular Biology, Research Institute for Radiation Biology and Medicine (Japan); Hoshi, Masaharu [Hiroshima University, Department of Radiation Biophysics, Research Institute for Radiation Biology and Medicine (Japan)

2012-05-15

While there is a considerable number of studies on the relationship between the risk of disease or death and direct exposure from the atomic bomb in Hiroshima, the risk for indirect exposure caused by residual radioactivity has not yet been fully evaluated. One of the reasons is that risk assessments have utilized estimated radiation doses, but that it is difficult to estimate indirect exposure. To evaluate risks for other causes, including indirect radiation exposure, as well as direct exposure, a statistical method is described here that evaluates risk with respect to individual location at the time of atomic bomb exposure instead of radiation dose. In addition, it is also considered to split the risks into separate risks due to direct exposure and other causes using radiation dose. The proposed method is applied to a cohort study of Hiroshima atomic bomb survivors. The resultant contour map suggests that the region west to the hypocenter has a higher risk compared to other areas. This in turn suggests that there exists an impact on risk that cannot be explained by direct exposure. (orig.)

Investigation on circular asymmetry of geographical distribution in cancer mortality of Hiroshima atomic bomb survivors based on risk maps: analysis of spatial survival data

International Nuclear Information System (INIS)

Tonda, Tetsuji; Satoh, Kenichi; Otani, Keiko; Ohtaki, Megu; Sato, Yuya; Maruyama, Hirofumi; Kawakami, Hideshi; Tashiro, Satoshi; Hoshi, Masaharu

2012-01-01

While there is a considerable number of studies on the relationship between the risk of disease or death and direct exposure from the atomic bomb in Hiroshima, the risk for indirect exposure caused by residual radioactivity has not yet been fully evaluated. One of the reasons is that risk assessments have utilized estimated radiation doses, but that it is difficult to estimate indirect exposure. To evaluate risks for other causes, including indirect radiation exposure, as well as direct exposure, a statistical method is described here that evaluates risk with respect to individual location at the time of atomic bomb exposure instead of radiation dose. In addition, it is also considered to split the risks into separate risks due to direct exposure and other causes using radiation dose. The proposed method is applied to a cohort study of Hiroshima atomic bomb survivors. The resultant contour map suggests that the region west to the hypocenter has a higher risk compared to other areas. This in turn suggests that there exists an impact on risk that cannot be explained by direct exposure. (orig.)

Action taken by three humans, an American physicist in the bomber, two Japanese with radiation poisoning in Hiroshima and Nagasaki when the atomic bombs were exploded

International Nuclear Information System (INIS)

Fukui, Shuji

2007-01-01

Luis W. Alvarez of the Lawrence Berkeley National Laboratory (LBNL), University of California, USA, won the Nobel Prize for physics of elementary particle in 1968. He was very famous physicist and concerned the World War II in some ways. He joined the radar research development at MIT Radiation Lab. in 1940, then he developed the magnetron and the ground-controlled approach (GCA) for blind landing of planes. Afterwards he joined the Manhattan Project to fabricate the atomic bombs. His career connecting to those is introduced partly based on his autobiography. In addition, introduced are two reports by two Japanese, the personal experience of Yoko Ota with radiation poisoning in Hiroshima, and the action of Takashi Nagai who assisted the victims of radiation poisoning in Nagasaki even if he had radiation poisoning himself, as well as a letter from Luis W. Alvarez to Ryokichi Sagane, which was put in the tube of atomic bomb energy measuring instruments. Nightmares of the Hiroshima view are also introduced. (S.Y.)

Reducing Young Adults' Health Care Spending through the ACA Expansion of Dependent Coverage.

Science.gov (United States)

Chen, Jie; Vargas-Bustamante, Arturo; Novak, Priscilla

2017-10-01

To estimate health care expenditure trends among young adults ages 19-25 before and after the 2010 implementation of the Affordable Care Act (ACA) provision that extended eligibility for dependent private health insurance coverage. Nationally representative Medical Expenditure Panel Survey data from 2008 to 2012. We conducted repeated cross-sectional analyses and employed a difference-in-differences quantile regression model to estimate health care expenditure trends among young adults ages 19-25 (the treatment group) and ages 27-29 (the control group). Our results show that the treatment group had 14 percent lower overall health care expenditures and 21 percent lower out-of-pocket payments compared with the control group in 2011-2012. The overall reduction in health care expenditures among young adults ages 19-25 in years 2011-2012 was more significant at the higher end of the health care expenditure distribution. Young adults ages 19-25 had significantly higher emergency department costs at the 10th percentile in 2011-2012. Differences in the trends of costs of private health insurance and doctor visits are not statistically significant. Increased health insurance enrollment as a consequence of the ACA provision for dependent coverage has successfully reduced spending and catastrophic expenditures, providing financial protections for young adults. © Health Research and Educational Trust.

Pathways to Health Risk Exposure in Adult Film Performers

OpenAIRE

Grudzen, Corita R.; Ryan, Gery; Margold, William; Torres, Jacqueline; Gelberg, Lillian

2008-01-01

Despite being part of a large and legal industry in Los Angeles, little is known about adult film performers’ exposure to health risks and when and how these risks might occur. The objective was to identify exposure to physical, mental, and social health risks and the pathways to such risks among adult film performers and to determine how risks differ between different types of performers, such as men and women. Semi-structured in-depth interviews were conducted with 18 female and ten male pe...

Gastric cancer in the ABCC-JNIH adult health study sample, Hiroshima-Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Johnson, K G; Archer, P G; Johnson, M L.T.; Wanebo, C K

1967-07-10

This study attempted to identify items that are routinely recorded at physical examination which might be of predictive value concerning the subsequent development of gastric cancer. None of the clinical signs or laboratory results evaluated were found to be of predictive diagnostic value. Screening for gastric cancer to demonstrate achlorhydria or by upper gastrointestinal series would have been an impractical measure as has already been demonstrated in other larger case series. 5 references, 8 tables.

Diarrhea - what to ask your health care provider - adult

Science.gov (United States)

What to ask your health care provider about diarrhea - adult; Loose stools - what to ask your health ... medicines, vitamins, herbs, or supplements I take cause diarrhea? Should I stop taking any of them? What ...

Primary intracranial tumors among atomic bomb survivors and controls, Hiroshima and Nagasaki, 1961-75

International Nuclear Information System (INIS)

Seyama, Shinichi; Ishimaru, Toranosuke; Iijima, Soichi; Mori, Kazuo.

1980-02-01

An analysis was made of the relationship of radiation dose to the occurrence of primary intracranial tumors among atomic bomb survivors and nonexposed controls, Hiroshima and Nagasaki, in the fixed cohort of the Life Span Study (LSS) extended sample during the period 1961-75, or 16 to 30 years after the A-bombs. Based on various medical sources, 104 cases of primary intracranial tumors were identified among approximately 99,000 LSS extended sample members who were alive as of 1 January 1961. Of these 104 cases, 45 had manifested clinical signs of brain tumors, but, 59 cases were identified incidentally at postmortem examination. The distributions of morphologic type, age, and size of tumor were quite different for those primary intracranial tumors with and without a clinical sign of brain tumor. Glioma was the most frequent type of tumor with a clinical sign and meningioma was the most frequent type without. In relation to radiation dose the incidence rate of primary intracranial tumors with a clinical sign showed a significant excess risk for males in the high dose group who received 100 rad or more after adjustment for age at the time of the bomb (ATB). The standardized relative risk is around 5 in this group. The data also suggest that the crude relative risk of glioma is greater in the high dose group for younger ages ATB. However, there is no increased risk in females. Among the 5,012 autopsy subjects in the LSS extended sample during 1961-75, there is no relationship between radiation dose and the prevalence rate of primary intracranial tumors in those identified incidentally by autopsy. The relative risk of subclinical adenoma of the pituitary gland between high dose subjects and controls was also examined for a sample of 95 sex- and age-matched pairs using Hiroshima autopsy materials for 1961-74, but no relationship to dose was observed. (author)

The LD50 associated with exposure to the atomic bombing of Hiroshima

International Nuclear Information System (INIS)

Fujita, Shoichiro; Kato, Hiroo; Schull, W.J.

1989-01-01

Data on a total of 7,593 persons in Hiroshima who were in 2,518 wooden Japanese houses and exposed to A-bomb within 1.6 km from the hypocenter have been used to estimate the LD 50/60 . The effect of radiation shielding for these people in particularly well-characterized in the new dosimetry system DS86. A range of values emerge, varying slightly with the method of estimation used. This range, derived from DS86 marrow doses, and based on a linear fit to equally weighted estimates of the probabilities of death at various doses, is 2.3-2.6 Gy. A linear estimate in which the probabilities of death at the various doses are weighted by the inverse of their variances is somewhat lower, 2.2 Gy. These values may be underestimates of actual LD 50/60 because of inclusion of deaths in the first day, and the severely injured (burns, trauma) who survived the first day but succumbed later to their injuries. (author)

Histological review of breast cancer in atomic bomb survivors, Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Tokuoka, Shoji; Asano, Masahide; Yamamoto, Tsutomu; Tokunaga, Masayoshi; Sakamoto, Goi; Hartmann, W.H.; Hutter, R.V.P.; Henson, D.E.

1983-09-01

A group of pathologists from the United States and Japan reviewed breast cancer material of women exposed to the atomic bombs in Hiroshima and Nagasaki and controls. The purpose of the review was to verify the diagnoses, establish a base of confirmed cases for epidemiologic study, and provide a reference for other pathology review. Compared to the control group, matched through the Life Span Study extended sample, there were no differences in distribution of tumor type and tumor size. There were also no differences in histological type by age or radiation dose. The peak age for cancer to develop was the same in the exposed and control groups. The type of radiation had no effect on histological type. Atypical changes or residual proliferative lesions were not found in women exposed to radiation but free from cancer. On the basis of this study, it was concluded that radiogenic breast cancer does not differ histologically from spontaneously occurring cancer in Japanese women. (author)

Atmospheric formaldehyde and acetaldehyde at the campus University of Hiroshima, Japan

Directory of Open Access Journals (Sweden)

Sonia Naomi Nomi

2010-09-01

Full Text Available Ambient levels of formaldehyde (HCHO and acetaldehyde (CH3CHO were measured at Hiroshima (Japan during spring and summer of 2005. Measurements of O3, NOx, and SO2 were simultaneously conducted, in an attempt to identify temporal profiles and sources for these aldehydes. Atmospheric aldehydes were collected using C18 silica gel cartridges coated with an acidic solution of 2, 4-dinitrophenylhydrazine (2,4-DNPH and analyzed by high performance liquid chromatography with UV/VIS detection adjusted to 360 nm. Summer concentrations were higher than spring levels. FA concentrations during spring period ranged from 0.50 to 1.05 ppb and AA concentrations ranged from 0.17 to 1.31 ppb; during summer their concentrations ranged from 1.55 to 4.12 ppb and 0. 34 to 2.03 ppb. Average FA/AA in spring and summer were 3.09 and 3.72 suggesting biogenic emissions of aldehydes. The levels of FA and AA, their temporal variations, and their concentration ratio (FA/AA indicated that photochemical reactions contributed significantly to the formation of atmospheric aldehydes at the study site.

Transition to Adult-Oriented Health Care: Perspectives of Youth and Adults with Complex Physical Disabilities

Science.gov (United States)

Young, Nancy L.; Barden, Wendy S.; Mills, Wendy A.; Burke, Tricia A.; Law, Mary; Boydell, Katherine

2009-01-01

Introduction: The transition to adulthood is extremely difficult for individuals with disabilities. We sought to explore the specific issue of transition to adult-oriented health care in a Canadian context. Methods: We conducted semi-structured individual interviews with 15 youth and 15 adults with cerebral palsy, spina bifida, and acquired brain…

Basic need status and health-promoting self-care behavior in adults.

Science.gov (United States)

Acton, G J; Malathum, P

2000-11-01

Health-promoting self-care behavior emphasizing positive lifestyle practices may improve the health and quality of life of adults. One variable that may influence health-related decisions is the status of basic needs as described by Maslow. The purpose of this study was to investigate the relationships among basic need satisfaction, health-promoting self-care behavior, and selected demographic variables in a sample of community-dwelling adults. A convenience sample of 84 community-dwelling adults was recruited to complete the Basic Need Satisfaction Inventory, the Health-Promoting Lifestyle Profile II, and demographic information. Results of the study indicated that self-actualization, physical, and love/belonging need satisfaction accounted for 64% of the variance in health-promoting self-care behavior. The findings of this study are consistent with Maslow's theory of human motivation and suggest that persons who are more fulfilled and content with themselves and their lives, have physical need satisfaction, and have positive connections with others may be able to make better decisions regarding positive health-promoting self-care behaviors.

Photography and nuclear catastrophe. The visual representation of the occurrences in Hiroshima/Nagasaki and Chernobyl; Fotografie und atomare Katastrophe. Die visuelle Repraesentation der Ereignisse von Hiroshima/Nagasaki und Tschernobyl

Energy Technology Data Exchange (ETDEWEB)

Buerkner, Daniel

2014-02-13

The dissertation project seeks to analyse the photographic positions that deal with the atomic bomb attacks on Hiroshima and Nagasaki and the accident of the nuclear power plant in Chernobyl. This focus includes press photographs of the events as well as artistic, documentary and touristic images that take an approach towards the disasters often years after and hereby form iconographic or material references to the events. The study reveals central strategies for photographic images of atomic catastrophes, be they of military or civil nature. It is the inability to visualize non-visible nuclear rays or the complexity of processes on an atomic level that has turned out to be crucial. This incapacity of making images, a paradigm of invisibility, substantially coins the cultural role of the events. The question of how a society deals with these abstract potentials of nuclear technology has turned out to be always anew of high relevance in regard to ecological, social and technological policies of images.

Health promotion among older adults in Austria: a qualitative study.

Science.gov (United States)

Boggatz, Thomas; Meinhart, Christoph Matthias

2017-04-01

To determine the types of attitudes to health promotion among older Austrians. Health promotion in old age becomes increasingly important in the current period of demographic transition. Interventions are likely to be successful if they take the attitude of older persons into consideration. There may be several types of attitudes to health promotion among older adults. Cross-sectional qualitative study. Semi-structured interviews were conducted in a purposive sample consisting of 36 home-dwelling older persons from local communities in the federal province of Salzburg, Austria. Data were analysed using qualitative content analysis according to Mayring and subsequent construction of types. There are three main types of attitudes to health promotion. 'Health promoters through everyday activities' considered domestic work and walks to be sufficient in keeping up their health. Fitness-oriented persons practised sports of some type. Users of complementary methods practised such methods to some degree. These types of attitudes could be further differentiated according to their outcome expectations. In addition to benefits for health, socialising was also an important outcome. Physical decline may reduce a fitness-oriented attitude, whereas encouragement by others may trigger it. Older adults have various attitudes to health promotion, but these are not immutable. Health promotion programmes that are not restricted to a narrow focus on health but provide the opportunity to socialise may support older adults in maintaining a healthy lifestyle. © 2016 John Wiley & Sons Ltd.

Health-related quality of life in adult survivors of childhood sarcoidosis

DEFF Research Database (Denmark)

Milman, Nils; Svendsen, Claus Bo; Hoffmann, Anne Lisbeth

2009-01-01

AIM: To describe health-related quality of life (hrQOL) in adult subjects who had sarcoidosis in childhood. METHODS: Forty-six children (24 boys), all ethnic Danes......AIM: To describe health-related quality of life (hrQOL) in adult subjects who had sarcoidosis in childhood. METHODS: Forty-six children (24 boys), all ethnic Danes...

Intraocular pressure readings obtained through soft contact lenses using four types of tonometer

OpenAIRE

Takenaka J; Kunihara E; Rimayanti U; Tanaka J; Kaneko M; Kiuchi Y

2015-01-01

Joji Takenaka,1 Eriko Kunihara,1 Ulfah Rimayanti,2 Junko Tanaka,3 Makoto Kaneko,4 Yoshiaki Kiuchi1 1Department of Ophthalmology and Visual Science, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan; 2Faculty of Medicine and Health Sciences, UIN Alauddin Makassar, South Sulawesi, Indonesia; 3Department of Epidemiology, Infectious Disease Control and Prevention, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan; 4Graduate Schoo...

Profile of the Health and Nutritional Status of Older Adults in Mexico. 2012 National Health and Nutrition Survey.

Science.gov (United States)

Shamah Levy, T; Cuevas Nasu, L; Morales Ruan, M C; Mundo Rosas, V; Méndez Gómez-Humarán, I; Villalpando Hernández, S

2013-01-01

The health and nutritional conditions of older adults in Mexico are heterogeneous. The prevalence of chronic noncommunicable diseases is elevated with disparities in functionality and socioeconomic inequities. To obtain updated information of the health and nutritional profile of older adults in Mexico in a national representative sample. Information was obtained from 6,687 60 years and older adults from the 2012 National Health and Nutrition Survey (ENSANUT 2012). An index defining the status of «healthy adult» was constructed taking into account the variables of independence in performing activities of daily living (ADL), based on the development by Katz, instrumental ADL, no chronic diseases, nonsmoker and no active use of alcohol. Tables of frequencies and proportions were constructed and expanded to describe the general characteristics and nutritional status of the adult Mexican population. A logistic regression model was used to study changes in the probability of being classified as a healthy adult with respect to different variables of interest. Probabilities using the delta method were estimated to establish 95% confidence intervals. In this study 12.2% of the older adults, were classified as healthy. The logistic regression model adjusted for the variables included in the study shows that the interaction of age and gender is significant (P = 0.068), where the probability of healthy adult status decreases in women with ageing and remains stable for men. Also, living in the southern region of the country significantly decreases the probability of healthy adult status (P = 0.001). Gender of the older adult was not significant. In Mexico, the health conditions of older adults are deficient. Public policies need to be generated that are directed at this population group and will translate into self-care actions in the early stages of life so as to guarantee a healthy future.

Social Network Types and Mental Health Among LGBT Older Adults

Science.gov (United States)

Kim, Hyun-Jun; Fredriksen-Goldsen, Karen I.; Bryan, Amanda E. B.; Muraco, Anna

2017-01-01

Purpose of the Study: This study was designed to identify social network types among lesbian, gay, bisexual, and transgender (LGBT) older adults and examine the relationship between social network type and mental health. Design and Methods: We analyzed the 2014 survey data of LGBT adults aged 50 and older (N = 2,450) from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. Latent profile analyses were conducted to identify clusters of social network ties based on 11 indicators. Multiple regression analysis was performed to examine the association between social network types and mental health. Results: We found five social network types. Ordered from greatest to least access to family, friend, and other non-family network ties, they were diverse, diverse/no children, immediate family-focused, friend-centered/restricted, and fully restricted. The friend-centered/restricted (33%) and diverse/no children network types (31%) were the most prevalent. Among individuals with the friend-centered/restricted type, access to social networks was limited to friends, and across both types children were not present. The least prevalent type was the fully restricted network type (6%). Social network type was significantly associated with mental health, after controlling for background characteristics and total social network size; those with the fully restricted type showed the poorest mental health. Implications: Unique social network types (diverse/no children and friend-centered/restricted) emerge among LGBT older adults. Moreover, individuals with fully restricted social networks are at particular risk due to heightened health needs and limited social resources. This study highlights the importance of understanding heterogeneous social relations and developing tailored interventions to promote social connectedness and mental health in LGBT older adults. PMID:28087798

Health system strategies supporting transition to adult care.

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Hepburn, Charlotte Moore; Cohen, Eyal; Bhawra, Jasmin; Weiser, Natalie; Hayeems, Robin Z; Guttmann, Astrid

2015-06-01

The transition from paediatric to adult care is associated with poor clinical outcomes, increased costs and low patient and family satisfaction. However, little is known about health system strategies to streamline and safeguard care for youth transitioning to adult services. Moreover, the needs of children and youth are often excluded from broader health system reform discussions, leaving this population especially vulnerable to system 'disintegration'. (1) To explore the international policy profile of paediatric-to-adult care transitions, and (2) to document policy objectives, initiatives and outcomes for jurisdictions publicly committed to addressing transition issues. An international policy scoping review of all publicly available government documents detailing transition-related strategies was completed using a web-based search. Our analysis included a comparable cohort of nine wealthy Organisation for Economic Co-operation and Development (OECD) jurisdictions with Beveridge-style healthcare systems (deemed those most likely to benefit from system-level transition strategies). Few jurisdictions address transition of care issues in either health or broader social policy documents. While many jurisdictions refer to standardised practice guidelines, a few report the intention to use powerful policy levers (including physician remuneration and non-physician investments) to facilitate the uptake of best practice. Most jurisdictions do not address the policy infrastructure required to support successful transitions, and rigorous evaluations of transition strategies are rare. Despite the well-documented risks and costs associated with a poor transition from paediatric to adult care, little policy attention has been paid to this issue. We recommend that healthcare providers engage health system planners in the design and evaluation of system-level, policy-sensitive transition strategies. Published by the BMJ Publishing Group Limited. For permission to use (where not

Volunteering and health benefits in general adults: cumulative effects and forms.

Science.gov (United States)

Yeung, Jerf W K; Zhang, Zhuoni; Kim, Tae Yeun

2017-07-11

Although the health benefits of volunteering have been well documented, no research has examined its cumulative effects according to other-oriented and self-oriented volunteering on multiple health outcomes in the general adult public. This study examined other-oriented and self-oriented volunteering in cumulative contribution to health outcomes (mental and physical health, life satisfaction, social well-being and depression). Data were drawn from the Survey of Texas Adults 2004, which contains a statewide population-based sample of adults (n = 1504). Multivariate linear regression and Wald test of parameters equivalence constraint were used to test the relationships. Both forms of volunteering were significantly related to better health outcomes (odds ratios = 3.66% to 11.11%), except the effect of self-oriented volunteering on depression. Other-oriented volunteering was found to have better health benefits than did self-volunteering. Volunteering should be promoted by public health, education and policy practitioners as a kind of healthy lifestyle, especially for the social subgroups of elders, ethnic minorities, those with little education, single people, and unemployed people, who generally have poorer health and less participation in volunteering.

Hospital and clinic survey estimates of medical X-ray exposure in Hiroshima and Nagasaki, 2

International Nuclear Information System (INIS)

Antoku, Shigetoshi; Hoshi, Masaharu; Sawada, Shozo; Russell, W.J.

1987-07-01

The technical factors used during radiological examinations performed in Hiroshima and Nagasaki medical institutions were analyzed. The most frequently performed examination was chest radiography, followed by upper GI series. More than half the radiographic exposures were from upper GI series due to the many spot films made during fluoroscopy. Comparison of the present survey results with those of a previous one showed that relatively high kVp, low mAs and mA, and smaller field sizes are now more widely used. Though there have been decreased in fluoroscopy times and tube currents over the past 10 years, the numbers of spot films used have increased. Based on these technical factors, tables of organ doses from fluoroscopic examinations were compiled. (author)

Health Literacy: Cancer Prevention Strategies for Early Adults.

Science.gov (United States)

Simmons, Robert A; Cosgrove, Susan C; Romney, Martha C; Plumb, James D; Brawer, Rickie O; Gonzalez, Evelyn T; Fleisher, Linda G; Moore, Bradley S

2017-09-01

Health literacy, the degree to which individuals have the capacity to obtain, process, and understand health information and services needed to make health decisions, is an essential element for early adults (aged 18-44 years) to make informed decisions about cancer. Low health literacy is one of the social determinants of health associated with cancer-related disparities. Over the past several years, a nonprofit organization, a university, and a cancer center in a major urban environment have developed and implemented health literacy programs within healthcare systems and in the community. Health system personnel received extensive health literacy training to reduce medical jargon and improve their patient education using plain language easy-to-understand written materials and teach-back, and also designed plain language written materials including visuals to provide more culturally and linguistically appropriate health education and enhance web-based information. Several sustainable health system policy changes occurred over time. At the community level, organizational assessments and peer leader training on health literacy have occurred to reduce communication barriers between consumers and providers. Some of these programs have been cancer specific, including consumer education in such areas as cervical cancer, skin cancer, and breast cancer that are targeted to early adults across the cancer spectrum from prevention to treatment to survivorship. An example of consumer-driven health education that was tested for health literacy using a comic book-style photonovel on breast cancer with an intergenerational family approach for Chinese Americans is provided. Key lessons learned from the health literacy initiatives and overall conclusions of the health literacy initiatives are also summarized. Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Medical and occupational radiation exposure reported by self-administered questionnaire

International Nuclear Information System (INIS)

Yamamoto, Osamu; Fujita, Shoichiro

1977-01-01

Affirmative response rates for diagnostic, therapeutic, and occupational ionizing radiation exposure were ascertained by surveying Hiroshima and Nagasaki aBCC-JNIH Adult Health Study subjects. Half reported diagnostic exposure since last visiting ABCC; 20%, within 3 months of interview. Rates were higher for A-bomb exposed than those not-in-city; possibly because of a higher disease rate or concern therefore among the A-bomb exposed group and/or A-bomb Survivors Medical Treatment Law handbooks' facilitating more examinations of the exposed. The rates did not differ among the A-bomb exposed groups. The respective Hiroshima and Nagasaki rates were 2.6%, and 1.6% for radiation therapy; and 0.5% and 0.2% for occupational exposure. Neither radiation therapy nor occupational exposure rates differed by A-bomb dose. (auth.)

Health lifestyle behaviors among U.S. adults

Directory of Open Access Journals (Sweden)

Jarron M. Saint Onge

2017-12-01

Full Text Available Existing research that studies individual health behaviors and conceive of behaviors as simplistically reflecting narrow intentions toward health may obscure the social organization of health behaviors. Instead, we examine how eight health behaviors group together to form distinct health behavior niches. Using nationally-representative data from U.S. adults aged 18 and over from the 2004–2009 National Health Interview Survey (NHIS, we use Latent Class Analysis to identify classes of behavior based on smoking status, alcohol use, physical activity, physician visits, and flu vaccination. We identify 7 distinct health behavior classes including concordant health promoting (44%, concordant health compromising (26%, and discordant classes (30%. We find significant race/ethnic, sex, regional, and age differences in class membership. We show that health behavior classes are associated with prospective mortality, suggesting that they are valid representations of health lifestyles. We discuss the implications of our results for sociological theories of health behaviors, as well as for multiple behavior interventions seeking to improve population health.

Older adults are mobile too!Identifying the barriers and facilitators to older adults' use of mHealth for pain management.

Science.gov (United States)

Parker, Samantha J; Jessel, Sonal; Richardson, Joshua E; Reid, M Cary

2013-05-06

Mobile health (mHealth) is a rapidly emerging field with the potential to assist older adults in the management of chronic pain (CP) through enhanced communication with providers, monitoring treatment-related side effects and pain levels, and increased access to pain care resources. Little is currently known, however, about older adults' attitudes and perceptions of mHealth or perceived barriers and facilitators to using mHealth tools to improve pain management. We conducted six focus groups comprised of 41 diverse older adults (≥60 years of age) with CP. Participants were recruited from one primary care practice and two multiservice senior community day-visit centers located in New York City that serve older adults in their surrounding neighborhoods. Focus group discussions were recorded and transcribed, and transcriptions were analyzed using direct content analysis to identify and quantify themes. Focus group discussions generated 38 individual themes pertaining to the use of mHealth to help manage pain and pain medications. Participants had low prior use of mHealth (5% of participants), but the vast majority (85%) were highly willing to try the devices. Participants reported that mHealth devices might help them reach their healthcare provider more expeditiously (27%), as well as help to monitor for falls and other adverse events in the home (15%). Barriers to device use included concerns about the cost (42%) and a lack of familiarity with the technology (32%). Facilitators to device use included training prior to device use (61%) and tailoring devices to the functional needs of older adults (34%). This study suggests that older adults with CP are interested and willing to use mHealth to assist in the management of pain. Participants in our study reported important barriers that medical professionals, researchers, and mHealth developers should address to help facilitate the development and evaluation of age-appropriate, and function-appropriate, mHealth

Health profile for Danish adults with activity limitation and/or physical disability

DEFF Research Database (Denmark)

Johnsen, Nina Føns; Davidsen, Michael; Juel, Knud

proportion of Danish adults with activity limitation and/or physical disabilities experiences a good health and well-being, a larger proportion has an unhealthy lifestyle, poor social relations and uses the health care system frequently, as compared to adults without activity limitation and/or physical...

"Seniors only want respect": designing an oral health program for older adults.

Science.gov (United States)

Estrada, Ivette; Kunzel, Carol; Schrimshaw, Eric W; Greenblatt, Ariel P; Metcalf, Sara S; Northridge, Mary E

2018-01-01

Persistent socioeconomic disparities in the oral disease burden contribute to pain and suffering among vulnerable and underserved populations who face systemic barriers to access oral health care, including older adults living in disadvantaged urban neighborhoods. The aim of this study is to gain the views of racial/ethnic minority older adults regarding what they believe would support them and their peers in visiting the dentist regularly. Focus groups were conducted and digitally audio-recorded from 2013 to 2015 with 194 racial/ethnic minority women and men aged 50 years and older living in northern Manhattan who participated in one of 24 focus group sessions about improving oral health for older adults. Analysis of the transcripts was conducted using thematic content analysis. The majority of recommendations from racial/ethnic minority older adults to help older adults go to the dentist regularly were centered at the organization and provider level. The preeminence of respectful treatment to racial/ethnic minority older adults may be useful to underscore in oral health programs and settings. There is a need for greater engagement of and attention to patients and other stakeholders in developing, testing, and disseminating interventions to close the gaps in oral health care disparities. © 2018 Special Care Dentistry Association and Wiley Periodicals, Inc.

Using social media to engage adolescents and young adults with their health

Science.gov (United States)

Wong, Charlene A.; Merchant, Raina M.; Moreno, Megan A.

2015-01-01

We focus on the potential of social media related to the health of adolescent and young adults, who are nearly ubiquitous social media users but difficult to engage with their health and relatively low healthcare utilizers. Opportunities to better engage adolescents and young adults through social media exist in healthcare delivery, health education and health policy. However, challenges remain for harnessing social media, including making a clear value proposition and developing evidence-based frameworks for measuring the impact of social media on health. PMID:25984444

Understanding views on everyday use of personal health information: Insights from community dwelling older adults.

Science.gov (United States)

Hartzler, A L; Osterhage, K; Demiris, G; Phelan, E A; Thielke, S M; Turner, A M

2018-09-01

Older adults apply various strategies to pursue healthy aging, but we know little about their views and use of personal health information to accomplish those ends. As a first step in formulating the role of personal health information management (PHIM) in healthy aging, we explored the perspectives of older adults on health and health information used in their everyday lives through four focus groups with 25 community-dwelling adults aged 60 and over. We found that the concept of wellness-the holistic and multidimensional nature of health and wellbeing-plays prominently in how older adults think about health and health information. Participants expressed wellness from a position of personal strength, rather than health-related deficits, by focusing on wellness activities for staying healthy through: (1) personal health practices, (2) social network support, and (3) residential community engagement. Although these themes involve personal health information, existing PHIM systems that focus on disease management are generally not designed to support wellness activities. Substantial opportunity exists to fill this wellness support gap with innovative health information technology designed for older adults. Findings carry implications for the design of PHIM tools that support healthy aging and methods for engaging older adults as co-producers of this critical support.

The study of Health Literacy of adults in Karaj

Directory of Open Access Journals (Sweden)

Mahdi Sahrayi

2017-03-01

Full Text Available Background and objective: Health literacy represents the cognitive and social skills that determine the motivation and ability of individuals to acquire, access and understand the information to maintain and promote health. This study aimed to assess the health literacy of adults in Karaj. Methods: In this cross-sectional and descriptive study, 525 subjects aged 18-65 years old were selected using multistage sampling in Karaj. Relevant information was obtained using demographic questionnaire and HELIA questionnaire (18-65 years-old, respectively. Data were analyzed using SPSS and appropriate tests. Results: The mean age of participants was 33.48 ± 11.39 years old. 48.8% (n=250 the participants were male and 51.2% (n=262 were female. 24.2% (n=124 of the participants had inadequate health literacy, 23.4 % (n=120 not so inadequate health literacy, 37.9 % (n=194 adequate health literacy and 14.5 (n = 74 had higher health literacy. Health literacy was significantly associated with age, gender, marital status, education, BMI, smoking and physical activity (p<0.05. Conclusion: Due to low health literacy and the importance of adult role in society, it is necessary educational programs aimed at improving their health literacy skills , designed and implemented. Paper Type: Research Article.

Oral health literacy and oral health outcomes in an adult population in Brazil

Directory of Open Access Journals (Sweden)

Marília Jesus Batista

2017-07-01

Full Text Available Abstract Background To investigate the association between critical and communicative oral health literacy (OHL and oral health outcomes (status, oral health-related quality of life and practices in adults. Methods This cross-sectional study examined a household probability sample of 248 adults, representing 149,635 residents (20–64 years old in Piracicaba-SP, Brazil. Clinical oral health and socioeconomic and demographic data, as well as data on oral health-related quality of life (OHIP-14 and health practices were collected. The oral examinations were carried out in the participants’ homes, using the World Health Organization criteria for oral diseases. The critical and communicative OHL instrument was the primary independent variable, and it was measured using five Likert items that were dichotomized as ‘high’ (‘agree’ and ‘strongly agree’ responses for the 5 items and ‘low’ OHL. Binary and multinomial logistic regressions were performed on each outcome (oral health status and practices, controlling for age, sex and socioeconomic status (SES. Results Approximately 71.5% presented low OHL. When adjusted for age and sex (first model low OHL was associated with untreated caries (Odds Ratio = 1.92, 95% Confidence Interval = 1.07–3.45, tooth brushing <3 times a day (OR = 2.00, 1.11–3.62 and irregular tooth flossing (OR = 2.17, 1.24–3.80. After SES inclusion in the first model, significant associations were found for low OHL when the outcomes were: presence of biofilm (OR = 1.83, 1.08–3.33, dental care for emergency only (OR = 2.24, 1.24–4.04 and prevalence of oral health impact on quality of life (OR = 2.06, 1.15–3.69. Conclusion Adjusting for age, sex and SES, OHL is related to a risk factor (biofilm and a consequence of poor oral health (emergency dental visits and can interfere with the impact of oral diseases on quality of life. As low OHL can be modified, the results support oral health promotion

Recollections of parental behaviour, adult attachment and mental health: mediating and moderating effects.

Science.gov (United States)

Gittleman, M G; Klein, M H; Smider, N A; Essex, M J

1998-11-01

Attachment theory posits links between early experiences with parents, adult relationships and adult mental health, but does not specify whether these are independent, mediating, or moderating effects. Associations of parent's behaviour on the Parental Bonding Instrument, adult attachment styles and three dimensions of mental health were investigated in a large sample of women and men. Men and women with secure styles recalled higher levels of care from both parents than those with fearful styles. Maternal and paternal control were more consistent predictors of increased distress for men than for women. Fearful and preoccupied adult styles were associated with higher levels of distress in both men and women. While adult styles had few mediating effects on the association of parental behaviour and mental health, interactions between the fearful style and parental variables suggested that this form of insecurity sometimes accentuated the impact of high parental care or low paternal control on mental health in both men and women; among women, however, the secure style seemed to buffer somewhat the negative effect of high parental control. Although the amount of variance explained by either parental behaviour or adult styles was modest, patterns of moderating effects of adult styles on associations between parental behaviour and mental health suggested that both continuity and discontinuity principles can be applied to understanding these links.

Relationships Between eHealth Literacy and Health Behaviors in Korean Adults.

Science.gov (United States)

Kim, Sun-Hee; Son, Youn-Jung

2017-02-01

The Internet is a useful and accessible source for health-related information for modern healthcare consumers. Individuals with adequate eHealth literacy have an incentive to use the Internet to access health-related information, and they consider themselves capable of using Web-based knowledge for health. This cross-sectional study aimed to describe the relationship between eHealth literacy and health behaviors. A total of 230 adults aged 18 to 39 years and residing in South Korea participated in the study. The mean (SD) score for eHealth literacy was 25.52 (4.35) of a total possible score of 40. The main source of health information was the Internet. Using hierarchical linear regression, the results showed that eHealth literacy was the strongest predictor of health behaviors after adjusting for general characteristics. These findings indicate that eHealth literacy can be an important factor in promoting individual health behaviors. Further research on eHealth literacy and actual health behaviors including intention and self-reported health behaviors are required to explain the impact of eHealth literacy on overall health status.

Childhood Trauma, Social Networks, and the Mental Health of Adult Survivors.

Science.gov (United States)

Schneider, F David; Loveland Cook, Cynthia A; Salas, Joanne; Scherrer, Jeffrey; Cleveland, Ivy N; Burge, Sandra K

2017-03-01

The purpose of this study was to investigate the relationship of childhood trauma to the quality of social networks and health outcomes later in adulthood. Data were obtained from a convenience sample of 254 adults seen in one of 10 primary care clinics in the state of Texas. Standardized measures of adverse childhood experiences (ACEs), stressful and supportive social relationships, medical conditions, anxiety, depression, and health-related quality of life were administered. Using latent class analysis, subjects were assigned to one of four ACE classes: (a) minimal childhood abuse (56%), (b) physical/verbal abuse of both child and mother with household alcohol abuse (13%), (c) verbal and physical abuse of child with household mental illness (12%), and (d) verbal abuse only (19%). Statistically significant differences across the four ACE classes were found for mental health outcomes in adulthood. Although respondents who were physically and verbally abused as children reported compromised mental health, this was particularly true for those who witnessed physical abuse of their mother. A similar relationship between ACE class and physical health was not found. The quality of adult social networks partly accounted for the relationship between ACE classes and mental health outcomes. Respondents exposed to ACEs with more supportive social networks as adults had diminished odds of reporting poor mental health. Conversely, increasing numbers of stressful social relationships contributed to adverse mental health outcomes. Although efforts to prevent childhood trauma remain a critical priority, the treatment of adult survivors needs to expand its focus on both strengthening social networks and decreasing the negative effects of stressful ones.

Health-related stigma as a determinant of functioning in young adults with narcolepsy.

Directory of Open Access Journals (Sweden)

Mary C Kapella

Full Text Available Symptoms of narcolepsy tend to arise during adolescence or young adulthood, a formative time in human development during which people are usually completing their education and launching a career. Little is known about the impact of narcolepsy on the social aspects of health-related quality of life in young adults. The purpose of this study was to examine relationships between health-related stigma, mood (anxiety and depression and daytime functioning in young adults with narcolepsy compared to those without narcolepsy. Young adults (age 18-35 with narcolepsy (N = 122 and without narcolepsy (N = 93 were mailed a packet that included questionnaires and a self-addressed postage paid envelope. The questionnaire included demographic information and a composite of instruments including the SF 36, Functional Outcomes of Sleep Questionnaire (FOSQ, Fife Stigma Scale (FSS, Epworth Sleepiness Scale (ESS and Hospital Anxiety and Depression Scale (HADS. Variable associations were assessed using descriptive statistics, ANOVA, Mann-Whitney U Test, correlations, stepwise multiple regression and path analysis. Young adults with narcolepsy perceived significantly more stigma and lower mood and health-related quality of life than young adults without narcolepsy (p<0.01. Health-related stigma was directly and indirectly associated with lower functioning through depressed mood. Fifty-two percent of the variance in functioning was explained by the final model in the young adults with narcolepsy. Health-related stigma in young adults with narcolepsy is at a level consistent with other chronic medical illnesses. Health-related stigma may be an important determinant of functioning in young adults with narcolepsy. Future work is indicated toward further characterizing stigma and developing interventions that address various domains of stigma in people with narcolepsy.

Health-related stigma as a determinant of functioning in young adults with narcolepsy.

Science.gov (United States)

Kapella, Mary C; Berger, Barbara E; Vern, Boris A; Vispute, Sachin; Prasad, Bharati; Carley, David W

2015-01-01

Symptoms of narcolepsy tend to arise during adolescence or young adulthood, a formative time in human development during which people are usually completing their education and launching a career. Little is known about the impact of narcolepsy on the social aspects of health-related quality of life in young adults. The purpose of this study was to examine relationships between health-related stigma, mood (anxiety and depression) and daytime functioning in young adults with narcolepsy compared to those without narcolepsy. Young adults (age 18-35) with narcolepsy (N = 122) and without narcolepsy (N = 93) were mailed a packet that included questionnaires and a self-addressed postage paid envelope. The questionnaire included demographic information and a composite of instruments including the SF 36, Functional Outcomes of Sleep Questionnaire (FOSQ), Fife Stigma Scale (FSS), Epworth Sleepiness Scale (ESS) and Hospital Anxiety and Depression Scale (HADS). Variable associations were assessed using descriptive statistics, ANOVA, Mann-Whitney U Test, correlations, stepwise multiple regression and path analysis. Young adults with narcolepsy perceived significantly more stigma and lower mood and health-related quality of life than young adults without narcolepsy (p<0.01). Health-related stigma was directly and indirectly associated with lower functioning through depressed mood. Fifty-two percent of the variance in functioning was explained by the final model in the young adults with narcolepsy. Health-related stigma in young adults with narcolepsy is at a level consistent with other chronic medical illnesses. Health-related stigma may be an important determinant of functioning in young adults with narcolepsy. Future work is indicated toward further characterizing stigma and developing interventions that address various domains of stigma in people with narcolepsy.

Invited commentary: The long term impact of forced migration during childhood on adult health.

Science.gov (United States)

Santavirta, Torsten

2016-12-01

Saarela and Elo (SSM-Population Health; Volume 2, December 2016, Pages 813-823) provide new evidence of early life forced displacement not being adversely associated with adult health. Their study highlights some of the challenges to identifying a causal effect of childhood exposure on adult health in the context of complex emergencies. Importantly, it opens up for future research that can address commonly recognized sources of bias and identify intervening pathways linking forced migration with adult health outcomes.

Self-Reported Sleep Duration and Self-Rated Health in Young Adults.

Science.gov (United States)

Štefan, Lovro; Juranko, Dora; Prosoli, Rebeka; Barić, Renata; Sporiš, Goran

2017-07-15

This study aimed to determine the associations between the self-reported sleep duration and self-rated health in young adults. In this cross-sectional study, participants were 689 young adults (mean age 20 ± 1.35 years, 49.8% female). Sleep duration and self-rated health, as the main outcome of interest, were measured as self-reported. As potential covariates, we included sex, age, smoking status, alcohol consumption, physical activity, sedentary behavior, psychological distress, and body mass index. Approximately 30% of participants slept 7-8 hours, 17.4% were short sleepers (categories 10 hours of sleep). In an unadjusted model, compared with the reference category (7-8 hours of sleep), those who slept health. In an adjusted model, short (sleep (> 10 hours) were both associated with poor self-rated health. Our results suggest that both short ( 10 hours) sleepers have lower odds of having good self-rated health after adjusting for potential covariates. Health professionals should pay more attention to young adults, who have both short and long period of sleep, in order to prevent health problems and potential acute or chronic diseases. © 2017 American Academy of Sleep Medicine

Diagnostic and therapeutic radiation exposure

Energy Technology Data Exchange (ETDEWEB)

Russell, W J [Radiation Effects Research Foundation, Hiroshima (Japan)

1975-09-01

Diagnostic and therapeutic radiology were studied as possible contaminants in the evaluations of A-bomb survivors in the ABCC-JNIH Adult Health Study for radiation effects. Hiroshima and Nagasaki subjects received X-ray examinations elsewhere within three months of their ABCC visits at rates of 23 and 12%, respectively. Medical X-ray examinations were more frequent among survivors than comparison subjects. Hiroshima and Nagasaki radiologic practice steadily increased since 1948, and differed markedly by city. From 1946-70 the Hiroshima and Nagasaki X-ray bone marrow doses were 2,300 and 1,000 g-rads, respectively. By 1970, cumulated medical X-ray doses approximated A-bomb doses at distances from the hypocenters of 2,000 m in Hiroshima and 2,800 m in Nagasaki. ABCC X-ray examination doses per subject are routinely updated for comparison with A-bomb doses. Each subject's reported fluoroscopy, photofluorography and radiation therapy exposure elsewhere are for future reference. Dental radiography, though increasing, was not currently an important contributor to survivors' overall exposure. Radiation therapy exposures of 137 subjects were confirmed, and doses estimated for most. Two-thirds the treatments were for malignancies; therapy differed markedly by city; and five cancers possibly arose from earlier radiation therapy. This underscores the importance of considering diagnostic and therapeutic radiology when attributing diseases to the atomic bombs.

Health Insurance Status as a Barrier to Ideal Cardiovascular Health for U.S. Adults: Data from the National Health and Nutrition Examination Survey (NHANES.

Directory of Open Access Journals (Sweden)

Michael A McClurkin

Full Text Available Little is known about the association between cardiovascular (CV health and health insurance status. We hypothesized that U.S. adults without health insurance coverage would have a lower likelihood of ideal cardiovascular health.Using National Health and Nutrition Examination Survey (NHANES data from 2007-2010, we examined the relationship between health insurance status and ideal CV health in U.S. adults aged ≥19 years and <65 (N = 3304. Ideal CV health was defined by the American Heart Association (AHA as the absence of clinically manifested CV disease and the simultaneous presence of 6-7 "ideal" CV health factors and behaviors. Logistic regression modeling was used to determine the relationship between health insurance status and the odds of ideal CV health. Of the U.S. adult population, 5.4% attained ideal CV health, and 23.5% were without health insurance coverage. Those without health insurance coverage were more likely to be young (p<0.0001, male (p<0.0001, non-white (p<0.0001, with less than a high school degree (p<0.0001, have a poverty-to-income ratio less than 1 (p<0.0001 and unemployed (p<0.0001 compared to those with coverage. Lack of health insurance coverage was associated with a lower likelihood of ideal CV health; however, this relationship was attenuated by socioeconomic status.U.S. adults without health insurance coverage are less likely to have ideal CV health. Population-based strategies and interventions directed at the community-level may be one way to improve overall CV health and reach this at-risk group.

Smart homes and home health monitoring technologies for older adults: A systematic review.

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Liu, Lili; Stroulia, Eleni; Nikolaidis, Ioanis; Miguel-Cruz, Antonio; Rios Rincon, Adriana

2016-07-01

Around the world, populations are aging and there is a growing concern about ways that older adults can maintain their health and well-being while living in their homes. The aim of this paper was to conduct a systematic literature review to determine: (1) the levels of technology readiness among older adults and, (2) evidence for smart homes and home-based health-monitoring technologies that support aging in place for older adults who have complex needs. We identified and analyzed 48 of 1863 relevant papers. Our analyses found that: (1) technology-readiness level for smart homes and home health monitoring technologies is low; (2) the highest level of evidence is 1b (i.e., one randomized controlled trial with a PEDro score ≥6); smart homes and home health monitoring technologies are used to monitor activities of daily living, cognitive decline and mental health, and heart conditions in older adults with complex needs; (3) there is no evidence that smart homes and home health monitoring technologies help address disability prediction and health-related quality of life, or fall prevention; and (4) there is conflicting evidence that smart homes and home health monitoring technologies help address chronic obstructive pulmonary disease. The level of technology readiness for smart homes and home health monitoring technologies is still low. The highest level of evidence found was in a study that supported home health technologies for use in monitoring activities of daily living, cognitive decline, mental health, and heart conditions in older adults with complex needs. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Socio-economic inequalities in health and health service use among older adults in India: results from the WHO Study on Global AGEing and adult health survey.

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Brinda, E M; Attermann, J; Gerdtham, U G; Enemark, U

2016-12-01

The objectives of this study were to measure socio-economic inequalities in self-reported health (SRH) and healthcare visits and to identify factors contributing to health inequalities among older people aged 50-plus years. This study is based on a population-based, cross-sectional survey. We accessed data of 7150 older adults from the World Health Organization's Study on Global AGEing and adult health Indian survey. We used multivariate logistic regression to assess the correlates of poor SRH. We estimated the concentration index to measure socio-economic inequalities in SRH and healthcare visits. Regression-based decomposition analysis was employed to explore the correlates contributing to poor SRH inequality. About 19% (95% CI: 18%, 20%) reported poor health (n = 1368) and these individuals were significantly less wealthy. In total, 5134 (71.8%) participants made at least one health service visit. Increasing age, female gender, low social caste, rural residence, multimorbidity, absence of pension support, and health insurance were significant correlates of poor SRH. The standardized concentration index of poor SRH -0.122 (95% CI: -0.102; -0.141) and healthcare visits 0.364 (95% CI: 0.324, 0.403) indicated pro-poor and pro-rich inequality, respectively. Economic status (62.3%), pension support (11.5%), health insurance coverage (11.5%), social caste (10.7%) and place of residence (4.1%) were important contributors to inequalities in poor health. Socio-economic disparities in health and health care are major concerns in India. Achievement of health equity demand strategies beyond health policies, to include pro-poor, social welfare policies among older Indians. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Social Network Types and Mental Health Among LGBT Older Adults.

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Kim, Hyun-Jun; Fredriksen-Goldsen, Karen I; Bryan, Amanda E B; Muraco, Anna

2017-02-01

This study was designed to identify social network types among lesbian, gay, bisexual, and transgender (LGBT) older adults and examine the relationship between social network type and mental health. We analyzed the 2014 survey data of LGBT adults aged 50 and older (N = 2,450) from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. Latent profile analyses were conducted to identify clusters of social network ties based on 11 indicators. Multiple regression analysis was performed to examine the association between social network types and mental health. We found five social network types. Ordered from greatest to least access to family, friend, and other non-family network ties, they were diverse, diverse/no children, immediate family-focused, friend-centered/restricted, and fully restricted. The friend-centered/restricted (33%) and diverse/no children network types (31%) were the most prevalent. Among individuals with the friend-centered/restricted type, access to social networks was limited to friends, and across both types children were not present. The least prevalent type was the fully restricted network type (6%). Social network type was significantly associated with mental health, after controlling for background characteristics and total social network size; those with the fully restricted type showed the poorest mental health. Unique social network types (diverse/no children and friend-centered/restricted) emerge among LGBT older adults. Moreover, individuals with fully restricted social networks are at particular risk due to heightened health needs and limited social resources. This study highlights the importance of understanding heterogeneous social relations and developing tailored interventions to promote social connectedness and mental health in LGBT older adults. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

An Adult Protective Services' view of collaboration with Mental Health Services.

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Teaster, Pamela B; Stansbury, Kim L; Nerenberg, Lisa; Stanis, Patricia

2009-10-01

Mental Health Services (MHS) meet mental health needs of older adults through active, outpatient, community-based care. Adult Protective Services (APS) are involved with needs of older adults who have mental disability and mental illness. Adult Protective Services and MHS staff may to work together when they respond to the needs of victims and adults at risk for abuse, neglect, self-neglect, and exploitation. The purpose of this study was to understand effective APS-MHS collaborations (e.g., leadership, organizational culture, administration, and resources in predicting success). A survey that was sent to members of the National Adult Protective Services Association (NAPSA) revealed that both APS and MHS have strong commitments to protecting clients' rights and autonomy, but there appear to be differences between the two with regard to implementation, apparent in cases involving clients with diminished mental capacity who are at imminent risk, but who refuse help. Strengths of APS-MHS collaborations included improved communication and better service for at-risk clients.

Linguistic adaptation and psychometric evaluation of original Oral Health Literacy-Adult Questionnaire (OHL-AQ).

Science.gov (United States)

Vyas, Shaleen; Nagarajappa, Sandesh; Dasar, Pralhad L; Mishra, Prashant

2016-10-01

Linguistically adapted oral health literacy tools are helpful to assess oral health literacy among local population with clarity and understandability. The original oral health literacy adult questionnaire, Oral Health Literacy Adult Questionnaire, was given in English (2013), consisting of 17 items under 4 domains. The present study rationalizes to culturally adapt and validate Oral Health Literacy Adult Questionnaire into Hindi language. Thus, we objectified to translate Oral Health Literacy Adult Questionnaire into Hindi and test its psychometric properties like reliability and validity among primary school teachers. The Oral Health Literacy Adult Questionnaire was translated into Oral Health Literacy Adult Questionnaire - Hindi Version using the World Health Organization recommended translation back-translation protocol. During pre-testing, an expert panel assessed content validity of the questionnaire. Face validity was assessed on a small sample of 10 individuals. A cross-sectional study was conducted (June-July 2015) and OHL-AQ-H was administered on a convenient sample of 170 primary school teachers. Internal consistency and test-retest reliability were assessed using Cronbach's alpha and Intra-class correlation coefficient (ICC), respectively, with 2 weeks interval to ascertain adherence to the questionnaire response. Predictive validity was tested by comparing OHL-AQ-H scores with clinical indicators like oral hygiene scores and dental caries scores. The concurrent and discriminant validity was assessed through self-reported oral health and through negative association with sociodemographic variables. The data was analyzed by descriptive tests using chi-square and bivariate logistic regression in SPSS software, version 20 and pLiteracy Adult Questionnaire - Hindi Version were 0.94 and 0.70, respectively. Comparisons of varying levels of oral health literacy with self-reported oral health established significant concurrent validity (p=0.01). Significant

Systematic Review of Yoga Interventions to Promote Cardiovascular Health in Older Adults.

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Barrows, Jennifer L; Fleury, Julie

2016-06-01

The benefits of physical activity are well established, yet few older adults engage in adequate physical activity to optimize health. While yoga may reduce the risk of cardiovascular disease, few studies have focused on the efficacy of yoga-based physical activity to promote cardiovascular health in older adults. The objective of this review is to provide an evaluation of yoga interventions to reduce cardiovascular risk in older adults. Four databases were searched for randomized controlled trials of yoga interventions in older adults. Studies with cardiovascular outcomes were included. Literature searches identified nine articles eligible for review. Significant health benefits were reported, including favorable changes in blood pressure, body composition, glucose, and lipids. Yoga practices, participant characteristics, and outcome measures were variable. There was limited use of theory. Yoga is safe and feasible in older adults; additional research is warranted to examine the specific components of yoga interventions essential to reducing cardiovascular risk. © The Author(s) 2015.

Socioeconomic and racial/ethnic oral health disparities among US older adults: oral health quality of life and dentition.

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Huang, Deborah L; Park, Mijung

2015-01-01

This study aims to examine if older adults living in poverty and from minority racial/ethnic groups experienced disproportionately high rates of poor oral health outcomes measured by oral health quality of life (OHQOL) and number of permanent teeth. Cross-sectional analysis of 2,745 community-dwelling adults aged ≥65 years from the National Health and Nutrition Examination Survey (NHANES) 2005-2008. Oral health outcomes were assessed by questionnaire using the NHANES-Oral Health Impact Profile for OHQOL and standardized examination for dentition. Logistic and linear regression analyses were used to determine the association between oral health outcomes and predictors of interest. All analyses were weighted to account for complex survey sampling methods. Both poverty and minority race/ethnicity were significantly associated with poor oral health outcomes in OHQOL and number of permanent teeth. Distribution of scores for each OHQOL domain varied by minority racial/ethnic group. Oral health disparities persist in older adults living in poverty and among those from minority racial/ethnic groups. The racial/ethnic variation in OHQOL domains should be further examined to develop interventions to improve the oral health of these groups. © 2014 American Association of Public Health Dentistry.

Invited commentary: The long term impact of forced migration during childhood on adult health

Directory of Open Access Journals (Sweden)

Torsten Santavirta

2016-12-01

Full Text Available Saarela and Elo (SSM-Population Health; Volume 2, December 2016, Pages 813–823 provide new evidence of early life forced displacement not being adversely associated with adult health. Their study highlights some of the challenges to identifying a causal effect of childhood exposure on adult health in the context of complex emergencies. Importantly, it opens up for future research that can address commonly recognized sources of bias and identify intervening pathways linking forced migration with adult health outcomes.

Characteristics of Adults Seeking Health Care Provider Support Facilitated by Mobile Technology: Secondary Data Analysis.

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Bosak, Kelly; Park, Shin Hye

2017-12-21

Mobile health technology is rapidly evolving with the potential to transform health care. Self-management of health facilitated by mobile technology can maximize long-term health trajectories of adults. Little is known about the characteristics of adults seeking Web-based support from health care providers facilitated by mobile technology. This study aimed to examine the following: (1) the characteristics of adults who seek human support from health care providers for health concerns using mobile technology rather than from family members and friends or others with similar health conditions and (2) the use of mobile health technology among adults with chronic health conditions. Findings of this study were interpreted in the context of the Efficiency Model of Support. We first described characteristics of adults seeking Web-based support from health care providers. Using chi-square tests for categorical variables and t test for the continuous variable of age, we compared adults seeking Web-based and conventional support by demographics. The primary aim was analyzed using multivariate logistic regression to examine whether chronic health conditions and demographic factors (eg, sex, income, employment status, race, ethnicity, education, and age) were associated with seeking Web-based support from health care providers. The sample included adults (N=1453), the majority of whom were female 57.60% (837/1453), white 75.02% (1090/1453), and non-Hispanic 89.13% (1295/1453). The age of the participants ranged from 18 to 92 years (mean 48.6, standard deviation [SD] 16.8). The majority 76.05% (1105/1453) of participants reported college or higher level of education. A disparity was found in access to health care providers via mobile technology based on socioeconomic status. Adults with annual income of US $30,000 to US $100,000 were 1.72 times more likely to use Web-based methods to contact a health care provider, and adults with an annual income above US $100,000 were 2.41 to

Race/Ethnicity and Health-Related Quality of Life Among LGBT Older Adults

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Kim, Hyun-Jun; Jen, Sarah; Fredriksen-Goldsen, Karen I.

2017-01-01

Purpose of the Study: Few existing studies have addressed racial/ethnic differences in the health and quality of life of lesbian, gay, bisexual, and transgender (LGBT) older adults. Guided by the Health Equity Promotion Model, this study examines health-promoting and health risk factors that contribute to racial/ethnic health disparities among LGBT adults aged 50 and older. Design and Methods: We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. By applying multiple mediator models, we analyzed the indirect effects of race/ethnicity on health-related quality of life (HRQOL) via demographics, lifetime LGBT-related discrimination, and victimization, and socioeconomic, identity-related, spiritual, and social resources. Results: Although African Americans and Hispanics, compared with non-Hispanic Whites, reported lower physical HRQOL and comparable psychological HRQOL, indirect pathways between race/ethnicity and HRQOL were observed. African Americans and Hispanics had lower income, educational attainment, identity affirmation, and social support, which were associated with a decrease in physical and psychological HRQOL. African Americans had higher lifetime LGBT-related discrimination, which was linked to a decrease in their physical and psychological HRQOL. African Americans and Hispanics had higher spirituality, which was associated with an increase in psychological HRQOL. Implications: Findings illustrate the importance of identifying both health-promoting and health risk factors to understand ways to maximize the health potential of racially and ethnically diverse LGBT older adults. Interventions aimed at health equity should be tailored to bolster identity affirmation and social networks of LGBT older adults of color and to support strengths, including spiritual resources. PMID:28087793

The association between health literacy and self-management abilities in adults aged 75 and older, and its moderators.

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Geboers, Bas; de Winter, Andrea F; Spoorenberg, Sophie L W; Wynia, Klaske; Reijneveld, Sijmen A

2016-11-01

Low health literacy is an important predictor of poor health outcomes and well-being among older adults. A reason may be that low health literacy decreases older adults' self-management abilities. We therefore assessed the association between health literacy and self-management abilities among adults aged 75 and older, and the impact of demographic factors, socioeconomic factors, and health status on this association. We used data of 1052 older adults, gathered for a previously conducted randomized controlled trial on Embrace, an integrated elderly care model. These data pertained to health literacy, self-management abilities, demographic background, socioeconomic situation, and health status. Health literacy was measured by the validated three-item Brief Health Literacy Screening instrument. Self-management abilities were measured by the validated Self-Management Ability Scale (SMAS-30). After adjustment for confounders, self-management abilities were poorer in older adults with low health literacy (β = .34, p older adults than in low-educated older adults. Sex, age, living situation, income, presence of chronic illness, and mental health status did not moderate the association between health literacy and self-management abilities. Low health literacy is associated with poor self-management abilities in a wide range of older adults. Early recognition of low health literacy among adults of 75 years and older and interventions to improve health literacy might be very beneficial for older adults.

Health literacy and the social determinants of health: a qualitative model from adult learners.

Science.gov (United States)

Rowlands, Gillian; Shaw, Adrienne; Jaswal, Sabrena; Smith, Sian; Harpham, Trudy

2017-02-01

Health literacy, ‘the personal characteristics and social resources needed for individuals and communities to access, understand, appraise and use information and services to make decisions about health’, is key to improving peoples’ control over modifiable social determinants of health (SDH). This study listened to adult learners to understand their perspectives on gathering, understanding and using information for health. This qualitative project recruited participants from community skills courses to identify relevant ‘health information’ factors. Subsequently different learners put these together to develop a model of their ‘Journey to health’. Twenty-seven participants were recruited; twenty from community health literacy courses and seven from an adult basic literacy and numeracy course. Participants described health as a ‘journey’ starting from an individual's family, ethnicity and culture. Basic (functional) health literacy skills were needed to gather and understand information. More complex interactive health literacy skills were needed to evaluate the importance and relevance of information in context, and make health decisions. Critical health literacy skills could be used to adapt negative external factors that might inhibit health-promotion. Our model is an iterative linear one moving from ethnicity, community and culture, through lifestyle, to health, with learning revisited in the context of different sources of support. It builds on existing models by highlighting the importance of SDH in the translation of new health knowledge into healthy behaviours, and the importance of health literacy in enabling people to overcome barriers to health.

Progress report. Physics and health sciences. Health sciences section. 1988 January 01-June 30

International Nuclear Information System (INIS)

1988-08-01

Work of the Health Sciences section in the first half of 1988 covered the areas of radiation risks; neutron, thermoluminescence and beta dosimetry; tritium, stack and effluent monitoring; radiochemical analysis; atmospheric, lake and river processes; groundwater and streamflow interactions; flow and contaminant transport in groundwater; environmental assessment criteria, techniques and implementation; environmental monitoring; radiation sensitivity and mutagenesis; and radiobiology. Members of the section were closely involved with the international re-evaluation of risk estimates taking into account the new data on dose for Hiroshima and Nagasaki survivors

Hydrate for health: listening to older adults' need for information.

Science.gov (United States)

Palmer, Mary H; Marquez, Celine S; Kline, Katherine V; Morris, Erin; Linares, Brenda; Carlson, Barbara W

2014-10-01

An interdisciplinary team of faculty and students developed the Hydrate for Health project to provide relevant and evidence-based information to community-dwelling older adults. Evidence-based factsheets on bladder health, nighttime urination, medication safety, and physical activity/exercise, as well as a fluid intake self-monitoring tool, were developed. Four focus groups were conducted and included older adults (N = 21) who participated in activities at two local senior centers to obtain their feedback about the relevance of the factsheets. Extensive revisions were required based on the feedback received. Older adults expressed a desire for pragmatic information (i.e., how to determine fluid sources from food, how to measure water, how to determine their own fluid needs). They also wanted information that could be easily incorporated into daily life. Nurses play a central role in listening to and incorporating older adults' voices into consumer education materials. Copyright 2014, SLACK Incorporated.

Functional health status of adults with tetralogy of Fallot: matched comparison with healthy siblings.

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Knowles, Rachel; Veldtman, Gruschen; Hickey, Edward J; Bradley, Timothy; Gengsakul, Aungkana; Webb, Gary D; Williams, William G; McCrindle, Brian W

2012-07-01

Survival prospects for adults with repaired tetralogy of Fallot (TOF) are now excellent. Attention should therefore shift to assessing and improving functional health status and quality of life. We aimed to assess late functional health status of adults surviving TOF repair by matched comparison to their healthy siblings. All 1,693 TOF repairs performed at our institution between 1946 and 1990 were reviewed. A matched comparison was undertaken whereby presumed survivors and their healthy sibling were contacted and asked to complete the Ontario Health Survey 1990 and the 36-Item Short Form Health Survey (SF-36) questionnaire. Both questionnaires were completed by 224 adult survivors and their sibling closest in age. Adults with repaired TOF had lower scores for self-perceived general health status (p health as good or excellent (p health (p = 0.001) than their siblings. However, patients reported similar satisfaction with their lives, similar levels of social participation and support, and were as likely to be in long-term partnerships. Worse physical and mental health scores were associated with older age at surgery and at time of questionnaire completion and recent requirement for noncardiac medication. Although reporting lower functional health status then their siblings, quality of life and life satisfaction for adults who underwent surgery for TOF during childhood is comparable to that of their siblings without heart defects. Follow-up of younger adults is required to understand current health outcomes attributable to improvements in the management of TOF. Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Health Care Transition in Young Adults With Type 1 Diabetes: Perspectives of Adult Endocrinologists in the U.S.

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Garvey, Katharine C; Telo, Gabriela H; Needleman, Joseph S; Forbes, Peter; Finkelstein, Jonathan A; Laffel, Lori M

2016-02-01

Young adults with type 1 diabetes transitioning from pediatric to adult care are at risk for adverse outcomes. Our objective was to describe experiences, resources, and barriers reported by a national sample of adult endocrinologists receiving and caring for young adults with type 1 diabetes. We fielded an electronic survey to adult endocrinologists with a valid e-mail address identified through the American Medical Association Physician Masterfile. We received responses from 536 of 4,214 endocrinologists (response rate 13%); 418 surveys met the eligibility criteria. Respondents (57% male, 79% Caucasian) represented 47 states; 64% had been practicing >10 years and 42% worked at an academic center. Only 36% of respondents reported often/always reviewing pediatric records and 11% reported receiving summaries for transitioning young adults with type 1 diabetes, although >70% felt that these activities were important for patient care. While most respondents reported easy access to diabetes educators (94%) and dietitians (95%), fewer (42%) reported access to mental health professionals, especially in nonacademic settings. Controlling for practice setting and experience, endocrinologists without easy access to mental health professionals were more likely to report barriers to diabetes management for young adults with depression (odds ratio [OR] 5.3; 95% CI 3.4, 8.2), substance abuse (OR 3.5; 95% CI 2.2, 5.6), and eating disorders (OR 2.5; 95% CI 1.6, 3.8). Our findings underscore the need for enhanced information transfer between pediatric and adult providers and increased mental health referral access for young adults with diabetes post-transition. © 2016 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.

Health Promotion and Health Education for Adults. Adult Learning in the Context of Environment, Health and Population. A Series of 29 Booklets Documenting Workshops Held at the Fifth International Conference on Adult Education (Hamburg, Germany, July 14-18, 1997).

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United Nations Educational, Scientific, and Cultural Organization, Hamburg (Germany). Inst. for Education.

This booklet addresses the growing importance of health in adult learning and the interest in joint action. Section 1 describes the context, one in which substantial, but unevenly spread, progress has been made in improving global health. Section 2 examines the social aspects of health and explains how what is defined as health or sickness depends…

Self-stigma and its associations with stress, physical health, and health care satisfaction in adults who stutter.

Science.gov (United States)

Boyle, Michael P; Fearon, Alison N

2018-06-01

The aim of this study was to identify potential relationships between self-stigma (stigma awareness and stigma application) and stress, physical health, and health care satisfaction among a large sample of adults who stutter. It was hypothesized that both stigma awareness and stigma application would be inversely related to measures of physical health and health care satisfaction, and positively related to stress. Furthermore, it was anticipated that stress mediated the relationship between self-stigma and physical health. A sample of adults who stutter in the United States (n=397) completed a web survey that assessed levels of stigma awareness and stigma application, stress, physical health, and health care satisfaction. Correlational analyses were conducted to determine the relationships between these variables. Higher levels of stigma awareness and stigma application were associated with increased stress, decreased overall physical health, and decreased health care satisfaction (i.e., discomfort obtaining health care due to stuttering, and adverse health care outcomes due to stuttering), and these relationships were statistically significant. Stress was identified as a mediator between stigma application and physical health. Because adults who stutter with higher levels of self-stigma are at risk for decreased physical health through increased stress, and lower satisfaction with their health care experiences as a result of stuttering, it is important for professionals to assess and manage self-stigma in clients who stutter. Self-stigma has implications for not only psychological well-being, but stress, physical health, and health care satisfaction as well. Copyright © 2017 Elsevier Inc. All rights reserved.

Setting Overweight adults in motion: the role of health beliefs.

NARCIS (Netherlands)

MSc Annemieke van Nunen; PhD Ad Vingerhoets; MD E.J.M. Wouters; PhD Rinie Geenen

2009-01-01

Objective: Health beliefs of overweight adults who did and did not enter an exercise program were compared to identify possible factors that hamper people to increase physical exercise. Method: Participants (n = 116, 78 women and 38 men) were overweight adults without comorbidities. Self-report

[The health of adults undergoing an eviction process].

Science.gov (United States)

Bolívar Muñoz, Julia; Bernal Solano, Mariola; Mateo Rodríguez, Inmaculada; Daponte Codina, Antonio; Escudero Espinosa, Cecilia; Sánchez Cantalejo, Carmen; González Usera, Isis; Robles Ortega, Humbelina; Mata Martín, José Luis; Fernández Santaella, M Carmen; Vila Castellar, Jaime

2016-01-01

To analyze perceived health status and other health-related indicators in the adult population in Granada (Spain) undergoing an eviction process from their homes, whether rented or owned, in comparison with health indicators in the general adult population in Andalusia. A cross-sectional survey was administered by trained staff. The survey included instruments from the Andalusian Health Survey 2011 for measuring variables related to physical and mental health, as well as health-related habits. We compared the results with those obtained from the Andalusian general population through the Andalusian Health Survey. A bivariate analysis using the χ2 test and a multivariate logistic regression analysis were conducted. We obtained a total sample of 205 people in the process of eviction. A total of 59.5% (n=122) were women, and 40.5% (n=83) were men. Participants were more likely to have poor health (odds ratio [OR]: 12.63, 95% confidence interval [95%CI]: 8.74-18.27), have cardiovascular diseases (OR: 3.08; 95%CI: 1.54- 6.16), or to smoke (OR: 1.68; 95% CI: 1.21-2.33) compared with the Andalusian general population. Most of the health indicators analyzed showed a worse outcome for women undergoing an eviction process. Our results suggest that, in the current context of economic crisis, people undergoing a process of eviction in Granada and its metropolitan area show poorer health than the Andalusian general population. Further research is needed on health and evictions from different methodological approaches, for a better understanding of the topic. Copyright © 2015 SESPAS. Published by Elsevier Espana. All rights reserved.

Linguistic adaptation and psychometric evaluation of original oral health literacy-adult questionnaire (OHL-AQ

Directory of Open Access Journals (Sweden)

SHALEEN VYAS

2016-10-01

Full Text Available Introduction: Linguistically adapted oral health literacy tools are helpful to assess oral health literacy among local population with clarity and understandability. The original oral health literacy adult questionnaire, Oral Health Literacy Adult Questionnaire, was given in English (2013, consisting of 17 items under 4 domains. The present study rationalizes to culturally adapt and validate Oral Health Literacy Adult Questionnaire into Hindi language. Thus, we objectified to translate Oral Health Literacy Adult Questionnaire into Hindi and test its psychometric properties like reliability and validity among primary school teachers. Methods: The Oral Health Literacy Adult Questionnaire was translated into Oral Health Literacy Adult Questionnaire – Hindi Version using the World Health Organization recommended translation backtranslation protocol. During pre-testing, an expert panel assessed content validity of the questionnaire. Face validity was assessed on a small sample of 10 individuals. A cross-sectional study was conducted (June-July 2015 and OHL-AQ-H was administered on a convenient sample of 170 primary school teachers. Internal consistency and testretest reliability were assessed using Cronbach’s alpha and Intra-class correlation coefficient (ICC, respectively, with 2 weeks interval to ascertain adherence to the questionnaire response. Predictive validity was tested by comparing OHL-AQ-H scores with clinical indicators like oral hygiene scores and dental caries scores. The concurrent and discriminant validity was assessed through self-reported oral health and through negative association with sociodemographic variables. The data was analyzed by descriptive tests using chi-square and bivariate logistic regression in SPSS software, version 20 and p<0.05 was considered as the significance level. Results: The mean OHL-AQ-H score was 13.58±2.82. ICC and Cronbach’s alpha for Oral Health Literacy Adult Questionnaire – Hindi Version

Mathematical phantoms for use in dose estimation of survivors in Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Maruyama, Takashi

1990-01-01

The T65D (Tentative 1965 Dose) was recently revised on the basis of new scientific evidences which were available in accordance with the development of computer techniques and the accumulation of nuclear data. For the dose determinations of survivors in Hiroshima and Nagasaki, DS86 (Dosimetric System 1986) is a complete replacement of T65D for the Life Span Study (LSS) in RERF (Radiation Effects Research Foundation). In the DS86, depending on the input data for a survivor, various elements of several data bases are combined to provide the dosimetric variables requested by the user. The quantity finally desired for the LSS is absorbed dose in each organ. The calculation of quantities for converting incident fluence to absorbed dose in the target organ was carried out using Monte Carlo methods. For this calculation, mathematical phantoms were required. This paper describes the background data used for the construction of Japanese survivor phantoms and summarizes the mathematical phantoms employed in the DS86. (author)

Harnessing the Web: How E-Health and E-Health Literacy Impact Young Adults' Perceptions of Online Health Information.

Science.gov (United States)

Briones, Rowena

2015-12-31

The rise of technology has changed how people take control of their health, enabling individuals to choose to live healthier lives and make better treatment decisions. With this said, the Internet has emerged as the channel used by individuals for actively seeking or passively receiving health information. To explore how young adults assess the quality of health information, and how they construct meaning of online health information in general. Through 50 in-depth interviews, this study aims to examine how and why young adults turn to the Web for health information, and what strategies they employ to ensure that they are getting credible information. A total of 50 in-depth interviews were conducted with young adults to explore how they make meaning of online health information. Depending on the geographic area of the participant, the interview took place face-to-face at a location convenient for them, over Skype, or over the telephone and lasted on average 40 minutes. The interviews were transcribed verbatim, fully retaining the speech style of the moderator and the participants. Data were analyzed using techniques from the grounded theory approach, using a constant comparative method to allow for themes to emerge from the transcripts. The participants shared several benefits to this mode of health information seeking, claiming that it made for more productive visits with doctors and made health information more readily accessible through a variety of different formats. Additionally, the participants demonstrated their e-health literacy levels by discussing how they assessed online health information, engaging in a series of strategies that encompassed different aspects of e-health literacy. Social media channels were brought up by the participants as relatively new tools that can be used to assist in the seeking, understanding, and sharing of health information. However, participants also cautioned about the use of social media in regards to its informal nature

Reproductive health in young male adults with chronic diseases in childhood.

Science.gov (United States)

De Sanctis, Vincenzo; Soliman, Ashraf; Mohamed, Yassin

2013-01-01

The Centres for Disease Control and Prevention have defined a chronic diseases as an "illnesses that are prolonged, do not resolve spontaneously, and are rarely cured completely". Approximately 20% of all children have a chronic illness and 65% of them the illness is severe enough to interfere with daily activities. Failure of pubertal growth, delay or absence of sexual development, infertility and sexual dysfunction due to hypogonadism and defective spermatogenesis are well recognized disturbances among adolescents and young male adult patients with chronic diseases. The causes are multifactorial and can be due to disease itself, associated complications or drugs. Haemoglobinopathies, endocrine disorders, gastrointestinal and renal diseases are some examples that frequently cause some degree of disability. Infertility affects the future quality of life of these patients and is a predictor of stress in current and future relationships. Health care providers often neglect the reproductive health of chronically ill adolescents and young adults, although many studies indicate that they are sexually active and interested in knowing about their future fertility. This review article provides an overview of the literature concerning the impact of some chronic diseases in adolescents and young adults on reproductive health but will not address patients with cancer because it has been tackled adequately in the literature.MEDLINE database search of English-language medical journal articles published between 1975 and 2012 for papers related to reproductive health in adolescents and young adults with chronic diseases since childhood was done. Several Authors, recommend that all young adult patients with severe/prolonged chronic disease in childhood should be offered reproductive health care in a specialized center with appropriate expertise, involving a multidisciplinary team, including endocrinologists, andrologists, geneticists, psychologists, urologists and specialist

Autopsy studies of Hashimoto's thyroiditis in Hiroshima and Nagasaki (1954-1974)

International Nuclear Information System (INIS)

Asano, Masahide; Norman, J.E. Jr.; Kato, Hiroo; Yagawa, Kanichi.

1978-01-01

The authors examined 155 autopsy cases of Hashimoto's thyroiditis in the Life Span Study sample including both A-bomb survivors and controls in Hiroshima and Nagasaki (1954 to 1974). Hashimoto's thyroiditis was classified into lymphoid, diffuse and fibrous types and the following results were obtained. No difference existed in the effects of A-bomb radiation in the incidence and ATB (At the time of the A-bomb). The ration of males to females did not reveal statistical significance, even though reversed ratio was noted in the high dose group. The variation of thyroid gland weight in T65 dose or by variant showed no significant pattern, even though the smallest average weight was found in the highest radiation exposure group. The complication in the patients with Hashimoto's thyroiditis were noted to have high prevalance of ovarian cancer and low prevalence of stomach cancer and total cancer. Only two patients with Hashimoto's thyroiditis were found to be complicated with thyroid carcinoma. Among collagen diseases, the prevalence of rheumatic fever and rheumatoid arthritis was high as complication. And the prevance of combined diseases suggested that no late effect of A-bomb radiation existed. (author)

Parents' Traditional Cultural Values and Mexican-Origin Young Adults' Routine Health and Dental Care.

Science.gov (United States)

Updegraff, Kimberly A; Kuo, Sally I-Chun; McHale, Susan M; Umaña-Taylor, Adriana J; Wheeler, Lorey A

2017-05-01

To investigate the prospective associations between Mexican-origin mothers' and fathers' traditional cultural values and young adults' health and dental care utilization and to test the moderating role of youth gender. Mexican-origin parents and youth (N = 246 families) participated in home interviews and provided self-reports of parents' cultural values (time 1) and young adults' health status and routine health and dental care (time 2; 5 years later). Logistic regressions tested parents' traditional cultural values as predictors of routine health and dental care, accounting for parent nativity, parent acculturation, family socioeconomic status, youth gender, youth age, and youth physical health status. We also tested whether youth gender moderated the associations between parents' cultural values and young adults' routine care. Young adults whose mothers endorsed strong familism values when they were in mid-to-late adolescence were more likely to report at least one routine physician visit in the past year as young adults (odds ratio [OR] = 3.47, 95% confidence interval [CI]: 1.23-9.83, p = .019). Furthermore, for females only, mothers' more traditional gender role attitudes predicted reduced odds of receiving routine health (OR = .22; 95% CI: .08-.64, p = .005) and dental care (OR = .26; 95% CI: .09-.75, p culturally specific mechanisms to identify targets for addressing ethnic/racial disparities in health care utilization among Mexican-origin young adults, during a period of increased risk for health-compromising behaviors and reduced access to care. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Socio-medical tendency of long-lived exposure in Hiroshima Survivors Home. I

Energy Technology Data Exchange (ETDEWEB)

Shimizu, K [Atomic Bomb Survivors Relief Organization, Hiroshima (Japan)

1976-03-01

The author is continuing to observe socio-medically long-lived survivors over 90 years of age who are in the Hiroshima Survivors' Home, and this is the first report on them. In spite of a fairly large number of survivors of short-distance exposure, unexpectedly few showed a high dose. There were few medical findings suggestive of the effect of exposure. Although chronic diseases due to aging were observed prominently, no basis suggestive of the promotion of aging due to exposure was obtained. In view of social environments, born in rural districts, many of them tended to be rather unyielding and have endured low-income life, and their body had been hardened by physical labor. Most of them had rather mild somatic disturbances, and unexpectedly few needed complete help or diapers. Very few were judged to be DE by the ADL table. Of the total number of deaths (77) in 5 years, only 5 were above 90 years of age, and the cause was heart disease in 3 and senility in 2.

Socio-medical tendency of long-lived exposure in Hiroshima Survivors Home, 1

International Nuclear Information System (INIS)

Shimizu, Kiyoshi

1976-01-01

The author is continuing to observe socio-medically long-lived survivors over 90 years of age who are in the Hiroshima Survivors' Home, and this is the first report on them. In spite of a fairly large number of survivors of short-distance exposure, unexpectedly few showed a high dose. There were few medical findings suggestive of the effect of exposure. Although chronic diseases due to aging were observed prominently, no basis suggestive of the promotion of aging due to exposure was obtained. In view of social environments, born in rural districts, many of them tended to be rather unyielding and have endured low-income life, and their body had been hardened by physical labor. Most of them had rather mild somatic disturbances, and unexpectedly few needed complete help or diapers. Very few were judged to be DE by the ADL table. Of the total number of deaths (77) in 5 years, only 5 were above 90 years of age, and the cause was heart disease in 3 and senility in 2. (Chiba, N.)

Addressing Practical Issues Related Tto Nursing Care For International Visitors To Hiroshima

Directory of Open Access Journals (Sweden)

Mariko Nishikawa

2014-04-01

Full Text Available When nine million foreigners visited Japan in 2013, the federal government set a goal to attract an additional two and a half million visitors including medical tourists by 2020. This research investigates the attitudes and concerns of Japanese nurses when they are in a situation dealing with foreign patients. The data were collected from March through September 2010, from 114 nurses at three hospitals, in close proximity to popular tourist destinations in Hiroshima. A questionnaire was developed for this research, named Mari Meter, which included a section to write answers to an open question for the nurses to express their opinions. These responses were examined statistically and by word analysis using Text Mining Studio. Japanese nurses expressed greatest concern about payment options, foreign language skills, and issues of informed consent, when dealing with foreigners. The results confirm that, in order to provide a high quality of patient care, extra preparation and a greater knowledge of international workers and visitors are required by nursing professionals in Japan.

Health Benefits of Digital Videogames for Older Adults: A Systematic Review of the Literature.

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Hall, Amanda K; Chavarria, Enmanuel; Maneeratana, Vasana; Chaney, Beth H; Bernhardt, Jay M

2012-12-01

This article is a systematic review conducted of the research literature on digital videogames played by older adults and health outcomes associated with game play. Findings from each study meeting the inclusion criteria were analyzed and summarized into emergent themes to determine the impact of digital games in promoting healthy behaviors among older adults. A systematic review of the research literature was conducted through multiple academic databases for works, published between the years 2000 and 2011, looking at digital videogame interventions with adults 65 years of age and older. Multiple combinations of search terms and Boolean operators relevant to digital videogames and older adults were queried. A criteria matrix was created to code and evaluate studies. Thirteen studies met specific criteria for inclusion and were analyzed in the final review. Significant mental, physical, and social health factors, type of digital game platform, study design, and measurements are among emergent themes summarized from the reviewed research literature. Significant mental health outcomes of digital game interventions were found in the majority of the reviewed studies, followed by physical and lastly social health outcomes in older adults. A majority of the studies revealed significant positive effects on health outcomes associated with digital videogame play among older adults. With current advancements in technology, including advanced motion sensing, digital game platforms have significant potential for positive health impact among older populations. More robust and rigorous research designs are needed to increase validity and reliability of results and establish stronger causal relationships on the health benefits of digital videogame play for older adults.

Socioeconomic Inequalities in Mental Health of Adult Population: Serbian National Health Survey

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Milena Santric Milicevic

2016-02-01

Full Text Available Background: The global burden of mental disorders is rising. In Serbia, anxiety is the leading cause of disability-adjusted life years. Serbia has no mental health survey at the population level. The information on prevalence of mental disorders and related socioeconomic inequalities are valuable for mental care improvement. Aims: То explore the prevalence of mental health disorders and socioeconomic inequalities in mental health of adult Serbian population, and to explore whether age years and employment status interact with mental health in urban and rural settlements. Study Design: Cross-sectional study. Methods: This study is an additional analysis of Serbian Health Survey 2006 that was carried out with standardized household questionnaires at the representative sample of 7673 randomly selected households – 15563 adults. The response rate was 93%. A multivariate logistic regression modeling highlighted the predictors of the 5 item Mental Health Inventory (MHI-5, and of chronic anxiety or depression within eight independent variables (age, gender, type of settlement, marital status and self-perceived health, education, employment status and Wealth Index. The significance level in descriptive statistics, chi square analysis and bivariate and multivariate logistic regressions was set at p<0.05. Results: Chronic anxiety or depression was seen in 4.9% of the respondents, and poor MHI-5 in 47% of respondents. Low education (Odds Ratios 1.32; 95% confidence intervals=1.16-1.51, unemployment (1.36; 1.18-1.56, single status (1.34; 1.23-1.45, and Wealth Index middle class (1.20; 1.08-1.32 or poor (1.33; 1.21-1.47 were significantly related with poor MHI-5. Unemployed persons in urban settlements had higher odds for poormMHI-5 than unemployed in rural areas (0.73; 0.59-0.89. Single (1.50; 1.26-1.78, unemployed (1.39; 1.07-1.80 and inactive respondents (1.42; 1.10-1.83 had a higher odds of chronic anxiety or depression than married individuals, or

Mortality statistics of major causes of death among atomic bomb survivors in Hiroshima from 1968 to 1982

Energy Technology Data Exchange (ETDEWEB)

Hayakawa, Norihiko; Kurihara, Minoru; Munaka, Masaki (Hiroshima Univ. (Japan). Research Inst. for Nuclear Medicine and Biology) (and others)

1991-01-01

A comparative study was made on mortality during a 15-year period from 1968 to 1982 between atomic romb survivors resident in Hiroshima Prefecture and non-exposed controls. The mortality rate for all causes of death was lower in atomic bomb survivors than in the non-exposed, but the rate was higher among those directly exposed within about 1 km than in the non-exposed. The mortality rate for malignant neoplasms was higher in atomic bomb survivors than in the non-exposed, but that for cerebrovascular disease and heart disease was lower. In examining the rate for malignant neoplasms by site, the site showing a high mortality rate among atomic bomb survivors were almost identical to the results of the Life Span Study. For these sites, the shorter the exposure distance the higher was the mortality rate. The rate for malignant neoplasms of the uterus and stomach, and leukemia was unnaturally high among early entrants whose period after issuance of atomic bomb survivor's health handbook was short. In observing the atomic bomb survivors by the level of family destruction due to the bombing as a socio-economic factor, a tendency ws observed for the mortality rate for malignant neoplasms, diseases of blood-forming organs, and peptic ulcer, to be higher among survivors with severe family destruction. (author).

The Obama health care plan: what it means for mental health care of older adults.

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Sorrell, Jeanne M

2009-01-01

Health care was an important issue for both the Obama and McCain election campaigns. Now that Barack Obama is poised to serve as the 44th President of the United States, many health care providers are focused on what Obama's administration will mean for new health care initiatives. This article focuses specifically on aspects of the Obama and Biden health care plan that affects mental health care for older adults.

Elder mistreatment and physical health among older adults: the South Carolina Elder Mistreatment Study.

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Cisler, Josh M; Amstadter, Ananda B; Begle, Angela M; Hernandez, Melba; Acierno, Ron

2010-08-01

Exposure to potentially traumatic events (PTEs), including interpersonal violence, is associated with poorer physical health in young adults. This relation has not been well-investigated among older adults in specific populations. The present study was designed to investigate whether exposure to PTEs and elder mistreatment are associated with physical health status among older adults residing in South Carolina. Older adults aged 60 and above (N = 902) participated in a structured interview assessing elder mistreatment history, PTEs, demographics, and social dependency variables. Results demonstrated that PTEs were associated with poor self-rated health independently and when controlling for other significant predictors. A recent history of emotional mistreatment was associated with poor self-rated health independently, but not when controlling for other significant predictors.

Reanalysis of interviewing study data in the health attitude survey of A-bomb survivors, etc

International Nuclear Information System (INIS)

Satoh, Kenichi

2012-01-01

The interviewing study data in the title were initially contained in the official request of Hiroshima City and Prefecture, which had been presented to MHLW (Ministry of Health, Labor and Welfare) in 2010, concerning spread of previously defined A-bomb exposed regions and were statistically reanalyzed based on the requirement of the consequent MHLW council. The data were originally derived from the questionnaire in 2008 about the health attitude survey by Hiroshima authorities, from which 892 survivors had received the interview together with self-writing, and answers of 869 parsons (524 males) were finally subjected to the present reanalysis. Measures of the interview involved the SF-36 (Medical Outcome Study Short Form 36-item Health Survey) for QOL, GHQ28 (General Health Questionnaire 28-item) for screening of neurosis/depression, and CAPS (Clinician Administered PTSD Scale) for diagnosis of PTSD (post traumatic stress disorder), etc. These measures were analyzed along with classes of A-bomb experience with adjustment factors of sex, age and income by multiple-/multivariate logistic-regression. It was found that measures were tended to be worse in groups experiencing the black rain without effects of adjustment factors, which was similar to groups experiencing the heavier rainfall; however, these results were statistically insignificant. (T.T.)

Mental health in young adults and adolescents - supporting general physicians to provide holistic care.

Science.gov (United States)

Jurewicz, Izabela

2015-04-01

In the era of an ageing population, young adults on medical wards are quite rare, as only 12% of young adults report a long-term illness or disability. However, mental health problems remain prevalent in the younger population. In a recent report, mental health and obesity were listed as the most common problems in young adults. Teams set up specifically for the needs of younger adults, such as early intervention in psychosis services are shown to work better than traditional care and have also proven to be cost effective. On the medical wards, younger patients may elicit strong emotions in staff, who often feel protective and may identify strongly with the young patient's suffering. In order to provide holistic care for young adults, general physicians need to recognise common presentations of mental illness in young adults such as depression, deliberate self-harm, eating disorders and substance misuse. Apart from treating illness, health promotion is particularly important for young adults. © 2015 Royal College of Physicians.

Spirituality, depression, living alone, and perceived health among Korean older adults in the community.

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You, Kwang Soo; Lee, Hae-Ok; Fitzpatrick, Joyce J; Kim, Susie; Marui, Eiji; Lee, Jung Su; Cook, Paul

2009-08-01

Both theoretical and empirical studies have documented the protective effect of religiosity and spirituality on general health in older adults in community and hospital settings; however, no study has documented the relationship between spirituality and depression among older adults living alone in communities in Korea. We tested two hypotheses: Hypothesis 1: Korean older adults living alone would be more depressed and less healthy than older adults living with family, and Hypothesis 2: Individuals who are more religious and spiritual would report a lower level of depression and a higher level of general health even when other demographic and living status variables are controlled. A descriptive, comparative, and correlational design with a convenience sampling method was conducted among community-dwelling Korean older adults in Chounbook Providence, South Korea. This study included 152 men and women older than 65 years old. Hypothesis 1 was supported as Korean older adults living alone were significantly more depressed than were older adults living with family (Preligion with general health and depression.

Self-Esteem, Oral Health Behaviours, and Clinical Oral Health Status in Chinese Adults: An Exploratory Study

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Chin, Luzy Siu-Hei; Chan, Joanne Chung-Yan

2013-01-01

Objectives: This is an exploratory study to examine the relations among self-esteem, oral health behaviours and clinical oral health status in Chinese adults. In addition, gender differences in clinical oral health status and oral health behaviours were explored. Methods: Participants were 192 patients from a private dental clinic in Hong Kong…

Correlations between tests of aging in Hiroshima subjects: an attempt to define physiologic age

Energy Technology Data Exchange (ETDEWEB)

Hollingsworth, J W; Hashizume, Asaji; Jablon, Seymour

1964-12-01

Nine physiologic functions which change with age were measured in 437 subjects during their regular visits to the Atomic Bomb Casualty Commission clinic in Hiroshima, Japan. This pilot study was undertaken to determine the feasibility of collecting such data in a population sample physiologic age score. Tests conducted consisted of: skin elasticity, systolic blood pressure, vital capacity, hand grip strength, light extinction time, vibrometer, visual activity, audiometry, and serum cholesterol. The study demonstrated that adequate sample data could be obtained, and that statistical treatment could construct a physiologic age for individual subjects. However, the tests were of limited value below age 40, and the validation of the concept of physiologic age requires eventual correlation with mortality. Since the ABCC program includes a highly accurate mortality survey, it is hoped that data on physiologic aging can be collected and eventually related to mortality. 11 references, 3 figures, 6 tables.

The Cascading Effects of Marginalization and Pathways of Resilience in Attaining Good Health Among LGBT Older Adults

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Fredriksen-Goldsen, Karen I.; Kim, Hyun-Jun; Bryan, Amanda E. B.; Shiu, Chengshi; Emlet, Charles A.

2017-01-01

Purpose of the Study: Lesbian, gay, bisexual, and transgender (LGBT) older adults comprise a diverse and growing health disparate population. In the present study, using the Health Equity Promotion Model, we investigated pathways by which LGBT older adults experience resilience, risk, and marginalization and their relationship to attaining positive health outcomes. Design and Methods: Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS) is the first longitudinal research project designed to examine the health, aging, and well-being of LGBT adults aged 50 and older. Using data from 2014 (N = 2,415), we tested a structural equation model linking lifetime marginalization, identity affirmation and management, social and psychological resources, and health behaviors to positive health outcomes. Results: Identity affirmation positively predicted social resources and mental health, and social resources positively predicted mental health. Marginalization was associated with fewer social resources for LGBT older adults with an open identity management style, lower identity affirmation for LGBT older adults who strategically concealed their sexual identity, and poorer mental health. Mental health was associated with better health behaviors, which in turn predicted positive physical health outcomes. Implications: Although a health disparate population, good health among LGBT older adults appears to be attained via multiple resilience and risk pathways. Providers must remain aware of the historical contexts in which LGBT older adults lived and the strengths they developed in order to understand their health and to develop tailored and targeted prevention and intervention services. PMID:28087797

Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems

NARCIS (Netherlands)

van der Velden, Peter G.; Yzermans, C. Joris; Kleber, Rolf J.; Gersons, B. P. R.

2007-01-01

The authors assess the correlates of mental health services utilization (MHS) after a disaster among adults with mental health problems. Data of a three-wave longitudinal study among adult survivors of a fireworks disaster (T1: 2-3 weeks, T2: 18 months, T3: almost 4 years postdisaster) were linked

Health and participation problems in older adults with long-term disability.

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Hilberink, Sander R; van der Slot, Wilma M A; Klem, Martijn

2017-04-01

More attention and understanding of the health and participation problems of adults with early and later onset disabilities in the Netherlands is needed. To explore health/participation problems and unmet needs in adults aged ≥40 years with long-term disabilities and their relationship with the time of onset. Participants were recruited in the Netherlands through newsletters and social media to participate in a web-based questionnaire. The questionnaire assessed background characteristics, (change in) health/participation problems, and unmet needs. Spearman's rho was used to examine the relationships with time of onset. Of the 163 survey respondents, 42% acquired their disability before age 25 years and reported fatigue (77%), walking problems (66%), and pain (59%). In 21% of the respondents with early-onset disability fatigue, pain and depressive feelings co-occurred. Early-onset disability correlated with joint deformities, pain and anxiety. Participation problems included loss of income and fewer social activities. Early-onset correlated with the need for more information about diagnosis and prognosis. People aged over 40 years with long-term disability have significant and increasing health and participation problems. Adults with early-onset disability are more likely to have health or participation problems than adults with late-onset disability. Early identification is needed for preventive care and access to specialized services that focus on improving and maintaining physical symptoms, energy management, and participation. Copyright © 2016 Elsevier Inc. All rights reserved.

Differences in the Effects of the Great Recession on Health Outcomes among Minority Working-Age Adults.

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Towne, Samuel D; Probst, Janice C; Hardin, James W; Bell, Bethany A; Glover, Saundra

2015-03-01

We examined the effects of the Great Recession (December 2007-June 2009) among vulnerable adults who may be at high risk of poor health and low access to health care. Our primary outcomes of interest were self-reported health status (fair/poor versus good/very good/excellent), and foregoing needed health care due to cost in the past 12 months. Racial and ethnic minorities, except Asians, experienced higher rates of poor/fair health and higher rates of forgone medical care than did White adults. Hispanic and AIAN adults experienced differential effects of the Great Recession, as compared to White adults. Understanding how vulnerable populations react in times of economic flux will enable policy makers to identify strategies/policies to lessen the burden experienced by vulnerable adults.

Lay Meanings of Health among Rural Older Adults in Appalachia

Science.gov (United States)

Goins, R. Turner; Spencer, S. Melinda; Williams, Kimberly

2011-01-01

Purpose: Self-perceptions of health vary depending on one's social and cultural context. Rural residents have been characterized as having a distinct culture, and health differences by residence have been well documented. While there is evidence of poor health among rural older adults, little research has examined how they perceive and define…

Older adults' health and late-life drinking patterns: a 20-year perspective.

Science.gov (United States)

Moos, Rudolf H; Brennan, Penny L; Schutte, Kathleen K; Moos, Bernice S

2010-01-01

This study focused on the associations between older adults' health-related problems and their late-life alcohol consumption and drinking problems. A sample of 719 late-middle-aged community residents (55-65 years old at baseline) participated in a survey of health and alcohol consumption and this survey was followed 10 years and 20 years later. Health-related problems increased and alcohol consumption and drinking problems declined over the 20-year interval. Medical conditions, depressive symptoms, medication use, and acute health events were associated with a higher likelihood of abstinence; acute health events were also associated with less alcohol consumption. In contrast, reliance on alcohol to reduce pain was linked to more alcohol consumption. Moreover, an individual's overall health burden and reliance on alcohol to reduce pain were associated with more drinking problems. Reliance on alcohol to reduce pain potentiated the association between health burden, alcohol consumption and drinking problems. Older adults who have more health problems and rely on alcohol to manage pain are at elevated risk for drinking problems. Health care providers should target high-risk older adults, such as those who drink to reduce pain, for screening and brief interventions to help them identify new ways to cope with pain and curtail their drinking.

Adolescent and young adult health in the United States in the past decade: little improvement and young adults remain worse off than adolescents.

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Park, M Jane; Scott, Jazmyn T; Adams, Sally H; Brindis, Claire D; Irwin, Charles E

2014-07-01

Adolescence and young adulthood are unique developmental periods that present opportunities and challenges for improving health. Health at this age can affect health throughout the lifespan. This review has two aims: (1) to examine trends in key indicators in outcomes, behaviors, and health care over the past decade for U.S. adolescents and young adults; and (2) to compare U.S. adolescents and young adults on these indicators. The review also assesses sociodemographic differences in trends and current indicators. Guided by our aims, previous reviews, and national priorities, the present review identified 21 sources of nationally representative data to examine trends in 53 areas and comparisons of adolescents and young adults in 42 areas. Most health and health care indicators have changed little over the past decade. Encouraging exceptions were found for adolescents and young adults in unintentional injury, assault, and tobacco use, and, for adolescents, in sexual/reproductive health. Trends in violence and chronic disease and related behaviors were mixed. Review of current indicators demonstrates that young adulthood continues to entail greater risk and worse outcomes than adolescence. Young adults fared worse on about two-thirds of the indicators examined. Differences among sociodemographic subgroups persisted for both trends and current indicators. Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Effects of childhood socioeconomic position on subjective health and health behaviours in adulthood: how much is mediated by adult socioeconomic position?

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Blakely Tony

2011-04-01

Full Text Available Abstract Background Adult socioeconomic position (SEP is one of the most frequently hypothesised indirect pathways between childhood SEP and adult health. However, few studies that explore the indirect associations between childhood SEP and adult health systematically investigate the mediating role of multiple individual measures of adult SEP for different health outcomes. We examine the potential mediating role of individual measures of adult SEP in the associations of childhood SEP with self-rated health, self-reported mental health, current smoking status and binge drinking in adulthood. Methods Data came from 10,010 adults aged 25-64 years at Wave 3 of the Survey of Family, Income and Employment in New Zealand. The associations between childhood SEP (assessed using retrospective information on parental occupation and self-rated health, self-reported psychological distress, current smoking status and binge drinking were determined using logistic regression. Models were adjusted individually for the mediating effects of education, household income, labour market activity and area deprivation. Results Respondents from a lower childhood SEP had a greater odds of being a current smoker (OR 1.70 95% CI 1.42-2.03, reporting poorer health (OR 1.82 95% CI 1.39-2.38 or higher psychological distress (OR 1.60 95% CI 1.20-2.14 compared to those from a higher childhood SEP. Two-thirds to three quarters of the association of childhood SEP with current smoking (78%, and psychological distress (66% and over half the association with poor self-rated health (55% was explained by educational attainment. Other adult socioeconomic measures had much smaller mediating effects. Conclusions This study suggests that the association between childhood SEP and self-rated health, psychological distress and current smoking in adulthood is largely explained through an indirect socioeconomic pathway involving education. However, household income, area deprivation and labour

Race/Ethnicity and Health-Related Quality of Life Among LGBT Older Adults.

Science.gov (United States)

Kim, Hyun-Jun; Jen, Sarah; Fredriksen-Goldsen, Karen I

2017-02-01

Few existing studies have addressed racial/ethnic differences in the health and quality of life of lesbian, gay, bisexual, and transgender (LGBT) older adults. Guided by the Health Equity Promotion Model, this study examines health-promoting and health risk factors that contribute to racial/ethnic health disparities among LGBT adults aged 50 and older. We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. By applying multiple mediator models, we analyzed the indirect effects of race/ethnicity on health-related quality of life (HRQOL) via demographics, lifetime LGBT-related discrimination, and victimization, and socioeconomic, identity-related, spiritual, and social resources. Although African Americans and Hispanics, compared with non-Hispanic Whites, reported lower physical HRQOL and comparable psychological HRQOL, indirect pathways between race/ethnicity and HRQOL were observed. African Americans and Hispanics had lower income, educational attainment, identity affirmation, and social support, which were associated with a decrease in physical and psychological HRQOL. African Americans had higher lifetime LGBT-related discrimination, which was linked to a decrease in their physical and psychological HRQOL. African Americans and Hispanics had higher spirituality, which was associated with an increase in psychological HRQOL. Findings illustrate the importance of identifying both health-promoting and health risk factors to understand ways to maximize the health potential of racially and ethnically diverse LGBT older adults. Interventions aimed at health equity should be tailored to bolster identity affirmation and social networks of LGBT older adults of color and to support strengths, including spiritual resources. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Determining Factors for Utilization of Preventive Health Services among Adults with Disabilities in Taiwan

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Kung, Pei-Tseng; Tsai, Wen-Chen; Li, Ya-Hsin

2012-01-01

Taiwan has provided free health checks for adults since 1995. However, very little previous research has explored the use of preventive health services by physically and mentally disabled adults. The present study aimed to understand this use of preventive health services and the factors that influence it. Research participants included disabled…

eHealth literacy and Web 2.0 health information seeking behaviors among baby boomers and older adults.

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Tennant, Bethany; Stellefson, Michael; Dodd, Virginia; Chaney, Beth; Chaney, Don; Paige, Samantha; Alber, Julia

2015-03-17

Baby boomers and older adults, a subset of the population at high risk for chronic disease, social isolation, and poor health outcomes, are increasingly utilizing the Internet and social media (Web 2.0) to locate and evaluate health information. However, among these older populations, little is known about what factors influence their eHealth literacy and use of Web 2.0 for health information. The intent of the study was to explore the extent to which sociodemographic, social determinants, and electronic device use influences eHealth literacy and use of Web 2.0 for health information among baby boomers and older adults. A random sample of baby boomers and older adults (n=283, mean 67.46 years, SD 9.98) participated in a cross-sectional, telephone survey that included the eHealth literacy scale (eHEALS) and items from the Health Information National Trends Survey (HINTS) assessing electronic device use and use of Web 2.0 for health information. An independent samples t test compared eHealth literacy among users and non-users of Web 2.0 for health information. Multiple linear and logistic regression analyses were conducted to determine associations between sociodemographic, social determinants, and electronic device use on self-reported eHealth literacy and use of Web 2.0 for seeking and sharing health information. Almost 90% of older Web 2.0 users (90/101, 89.1%) reported using popular Web 2.0 websites, such as Facebook and Twitter, to find and share health information. Respondents reporting use of Web 2.0 reported greater eHealth literacy (mean 30.38, SD 5.45, n=101) than those who did not use Web 2.0 (mean 28.31, SD 5.79, n=182), t217.60=-2.98, P=.003. Younger age (b=-0.10), more education (b=0.48), and use of more electronic devices (b=1.26) were significantly associated with greater eHealth literacy (R(2) =.17, R(2)adj =.14, F9,229=5.277, Pinformation (OR 2.63, Wald= 8.09, df=1, P=.004). Finally, more education predicted greater use of Web 2.0 for health

Anomaly in the education–health gradient: Biomarker profiles among adults with subbaccalaureate attainment levels

Directory of Open Access Journals (Sweden)

Anna Zajacova

2016-12-01

Full Text Available This Short Communication builds on recent findings that documented an anomaly in the education–health gradient: adults who attended college but did not earn a BA (the subbaccalaureate group reported an equal or higher level of health problems than adults with high school (HS diploma. Our aim is to test whether this anomaly holds when we eliminate potential reporting differences, by examining biomarker levels in the subbaccalaureate vs HS groups.Using the restricted 1999–2012 NHANES, we estimate models of biomarkers for cardiovascular and metabolic diseases as a function of educational attainment, including three subbaccalaureate levels: “some college”, vocational associate degree (AA, and academic AA.The data show that adults with “some college” or vocational AA have no systematic advantage over HS graduates in most biomarker indices while academic AA is associated with a significantly better risk profile compared to HS. The findings indicate that the adults with some college and vocational AA degrees do not benefit from their college experience in terms of improved physiological risk profile.This pattern underscores the need to understand and explain the anomalous health pattern that concerns 28% of American adults in the subbaccalaureate group among whom many reap little health payoffs to postsecondary schooling. Keywords: Education, Subbaccalaureate, Biomarkers, Health, Gradient, US adults

Barriers to contraceptive access after health care reform: experiences of young adults in Massachusetts.

Science.gov (United States)

Bessett, Danielle; Prager, Joanna; Havard, Julia; Murphy, Danielle J; Agénor, Madina; Foster, Angel M

2015-01-01

To explore how Massachusetts' 2006 health insurance reforms affected access to sexual and reproductive health (SRH) services for young adults. We conducted 11 focus group discussions across Massachusetts with 89 women and men aged 18 to 26 in 2009. Most young adults' primary interaction with the health system was for contraceptive and other SRH services, although they knew little about these services. Overall, health insurance literacy was low. Parents were primary decision makers in health insurance choices or assisted their adult children in choosing a plan. Ten percent of our sample was uninsured at the time of the discussion; a lack of knowledge about provisions in Chapter 58 rather than calculated risk analysis characterized periods of uninsurance. The dynamics of being transitionally uninsured, moving between health plans, and moving from a location defined by insurance companies as the coverage area limited consistent access to contraception. Notably, staying on parents' insurance through extended dependency, a provision unique to the post-reform context, had implications for confidentiality and access. Young adults' access to and utilization of contraceptive services in the post-reform period were challenged by unanticipated barriers related to information and privacy. The experience in Massachusetts offers instructive lessons for the implementation of national health care reform. Young adult-targeted efforts should address the challenges of health service utilization unique to this population. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

Comparing young adults to older adults in e-cigarette perceptions and motivations for use: implications for health communication.

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Cooper, Maria; Harrell, Melissa B; Perry, Cheryl L

2016-08-01

Use of electronic cigarettes ('e-cigarettes' is rapidly rising, and is especially prevalent among young adults. A better understanding of e-cigarette perceptions and motivations for use is needed to inform health communication and educational efforts. This study aims to explore these aspects of use with a focus on comparing young adults to older adults. In this qualitative study, the investigator conducted semi-structured interviews among a purposive sample of e-cigarette users. Thematic content analysis was used to analyze qualitative data and document themes. e-cigarettes were most commonly used for smoking cessation among both age groups. Young adults described other motivations for use including doing smoke tricks, being able to consume a wide variety of flavors, and helping them study. Some interviewees (11%) believed e-cigarettes were a healthy alternative to conventional cigarettes, while many other users (30%) expressed concerns about the unknown risks of e-cigarettes. Findings were generally consistent across both age groups in their perceptions of harm from e-cigarettes and in subjective effects such as perceived addictiveness. However, individuals under 30 described unique motivations for e-cigarette use. Health messaging targeted to young adults should emphasize the potential health risks of e-cigarette use and recognize their distinct motivational aspects. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Psychological well-being among US adults with arthritis and the unmet need for mental health care.

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Straub, Laura E; Cisternas, Miriam G

2017-01-01

Mental health conditions can increase the risk of disability among adults with arthritis. The objective of this analysis was to compare the prevalence of serious psychological distress (SPD), depression, and anxiety among US adults with arthritis vs. those without; characterize adults with arthritis with and without SPD; and determine correlates of seeing a mental health professional during the year for adults with arthritis and SPD. Cross-sectional analysis of adults in the 2011-2013 National Health Interview Survey. Higher proportions of adults with arthritis had SPD (6.8% vs. 2.4%), depression (19.4% vs. 7.3%), and anxiety (29.3% vs. 16.3%) compared to those without. Of the estimated 3.5 million adults with arthritis and SPD, only 39% saw a mental health professional during the year. Adjusted analyses identified the following statistically significant relationships: those who were older (45-64 and ≥65 [vs.18-44], prevalence ratio [PR]=0.8 and 0.4, respectively), less educated (PR=0.5 and 0.7 for high school or less vs. college degree, respectively), and without health insurance coverage (vs. any private, PR=0.7), were less likely to see a mental health professional, whereas the disabled or unemployed (vs. employed, PR=1.6 and 1.5, respectively), and those unable to afford mental health care throughout the year (PR=1.3) were more likely. The high prevalence of SPD, anxiety, and depression in adults with arthritis suggests the need for increased mental health screening, with subsequent referral to mental health professionals or other treatment programs, in that population.