Doppler detection in Ama divers of Japan.

OBJECTIVE: Symptoms consistent with neurological decompression sickness (DCS) in commercial breath-hold (Ama) divers has been reported from a few districts of Japan. The aim of this study was to detect circulating intravascular bubbles after repetitive breath-hold diving in a local area where DCS has been reported in Ama divers. METHODS: The participants were 12 partially assisted (descent using weights) male Ama divers. The equipment (AQUALAB system) consisted of continuous-wave Doppler with a 5-MHz frequency, and the Doppler probe was placed in the precordial site with the ultrasonic wave directed into the pulmonary infundibulum. We carried out continuous monitoring for 10 minutes at the end of the series of repetitive dives, and the recordings were made on numerical tracks and graded in a blind manner by 2 experienced investigators, according to the Spencer Doppler code. RESULTS: Depths and number of dives were 8 to 20 m and 75 to 131 times. Mean diving duration and surface interval were 64 ± 12 seconds and 48 ± 8 seconds, respectively (mean ± SD). We detected the lowest grade of intravascular bubbles (Spencer's grade I) in an Ama diver whose mean surface interval was only 35.2 ± 6.2 seconds. His mean descending, bottom, and ascending times were 10.4 ± 1.6 seconds, 39.2 ± 8 seconds, and 18.2 ± 3.0 seconds, respectively, over the course of 99 dives. CONCLUSIONS: Intravascular bubbles may be formed after repetitive breath-hold dives with short surface intervals or after a long breath-holding session in Ama divers. Symptoms consistent with neurological accidents in repetitive breath-hold diving may be caused in part by the intravascular presence of bubbles, indicating the need for safety procedures.

Effect of short-term exposure to whole body vibration in humans: relationship between wakefulness level and vibration frequencies.

The purpose of this study was to clarify the influence of different vibration frequencies on wakefulness level. Subjects were 7 healthy male university students aged 21.9+/-1.6 years (mean). All students were non-smokers. Three exposure conditions were used (10 Hz vibration, 20 Hz vibration, and no vibration). Whole-body vertical vibration was applied to subjects sitting on a car passenger seat using a whole-body vibration shaker (CV-300, Akashi) at a single frequency (10 or 20 Hz) at an acceleration level of 0.3 ms(-2) r.m.s. for 24 min. The objective wakefulness level based on EEGs was evaluated in terms of the alpha attenuation coefficient (AAC) obtained by the Alpha Attenuation Test (AAT). As parameters of psychological stress, salivary 3-methoxy-4-hydroxyphenylglycol (MHPG) and homovanillic acid (HVA) were used. The subjective wakefulness level was evaluated using a questionnaire based on the Kwansei Gakuin Sleepiness Scale (KSS), which is a scale developed for the Japanese based on the Stanford Sleepiness Scale (SSS). The KSS score, representing the subjective wakefulness level, decreased after the exposure irrespective of the exposure condition, but the decrease was not significant. The AAC, representing the objective wakefulness level, significantly decreased only after vibration exposure (10 Hz/20 Hz) but did not differ between the two vibration frequencies. No significant changes were observed after exposure to whole-body vibration in MHPG or HVA as parameters of vibration-related stress. The AAC decreased after exposure to whole-body vibration (10 Hz/20 Hz), suggesting a decrease in the wakefulness level. However, no differences were observed in the influence of the two different vibration frequencies test.

Effects of short-term exposure to whole-body vibration on wakefulness level.

To investigate the relationships between whole-body vibration and changes in wakefulness, We measured the change of a subjective wakefulness level and electroencephalogram (EEG). Subjects are ten healthy male university students. The subjects were exposed to whole-body vibration with frequency (10 Hz) and acceleration level (0.6 ms(-2) r.m.s.) for 12 min in the seated position. Subjective wakefulness level was evaluated using the questionnaire of VASS (Visual Analog Sleepiness Scale) and KSS (The Kwansei Gakuin Sleepiness Scale). For the electroencephalogram (EEG) measurement, AAT (Alpha Attenuation Test) which repeats three times each opened and closed eye for 1 min was conducted. Wakefulness levels were defined as the ratio of mean alpha-wave power during eyes closed versus eyes opened. VASS and KSS increased and subjective level of wakefulness decreased from pre- to post exposure in all subjects, regardless of vibration exposure. The objective wakefulness levels of AAT were reduced at the post-exposure test in all subjects. In the case with exposure to whole-body vibration was a significant difference from the case without exposure to whole-body vibration. It is suggested that a short-term exposure to whole-body vibration may cause a reduction of wakefulness level.

[An analysis of the educational effects of group counseling with visual aids: efforts to prevent diabetes in a business office setting].

We made this report with a view to clarifying the effects of group counseling with visual aids for railway workers enjoying improved health conducted as a part of prevention activities for lifestyle-related diseases such as diabetes. We employed the use of visual aids including slides, samples of blood and the measurement of vascular age on diabetes, and carried out group counseling to improve the interest, knowledge and realization of diabetes and lifestyle. This group counseling was carried out both with and without visual aids. A comparative study of the immediate effects mediated by the use or absence of visual aids was conducted. The workers who accepted our study and cooperated with us totaled 1054 (the average age was 43 +/- 11.2). We divided them at random into the object group and comparative control group and two months later we were able to analyze 190 people among them who could be traced and followed up. As a result of using visual aids, the workers showed much more interest and realization of diabetes and their lifestyles (p < 0.05), and a lower learning decline than the group without visual aids in retention of this knowledge. On the other hand, we have not yet seen improvement in the physical data through group counseling. It is possible that the medical examination data taken beforehand for the object group and the comparative control group were both within the normal range, or the follow-up period was short at only two months after the group counseling was conducted. We conclude that the use of visual aids could lead to a change in consciousness among workers having some confidence in their health as the result of group counseling.