The incidence of intracerebral hemorrhage over 13 years is compared between two Hisayama cohorts. Among men aged 40 years or older, the annual incidence declined significantly from 3.1/1,000 in the early cohort (1961-1970) to 1.2/1,000 in the recent cohort (1974-1983). Massive ganglionic hemorrhage decreased, while small or medium-sized intracerebral hemorrhage increased in the recent cohort on pathologic or computed tomographic examination. These trends could be due to the reduced prevalence of hypertension in the Hisayama population. The association of serum total cholesterol with intracerebral hemorrhage is discussed based on the results during a 22-year follow-up period.

Twenty-six first episodes of subarachnoid hemorrhage occurred among 1,621 Hisayama residents aged greater than or equal to 40 years during the 22-year follow-up of a prospective study. Subarachnoid hemorrhage was confirmed by both clinical and autopsy findings. The average annual incidence (96.1/100,000 population) was 3-13 times higher than any previously reported and steeply increased with age in both sexes, being 2.3 times higher for women than for men after adjusting for age. Nine patients (35%) died less than or equal to 8 hours after the onset of subarachnoid hemorrhage. None was correctly diagnosed on the death certificates, and four of the nine (44%) were misdiagnosed as intracerebral hemorrhage. We found the survival rate of patients suffering subarachnoid hemorrhage to be much lower than previously reported because we detected a large number of sudden deaths due to subarachnoid hemorrhage through the high rate of autopsy in our cohort (81.4%).

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SUMMARY l b elucidate the relation of hematocrit (Hct) to the incidence of cerebral infarction, a prospective follow-up study of 16 years (1965-81) was performed in a general population sample of 1220 Hisayama residents aged 44 and over, of both sexes. Most of the subjects who died during the follow-up period were autopskd, the rate being 89.0%.Hct decreased with advancing age in men, but not in women. The average value for Hct was significantly lower in women than in men. According to the mean value ± 1 SD of Hct, the subjects were grouped into 3, in each sex as follows: low (<35%), normal (35-45%) and high (2=45%) for men, and, low (<30%), normal (30-40%) and high (2:40%) for women.During the follow-up period, cerebral infarction occurred in 117 patients. The cumulative incidence of cerebral infarction In the low Hct group for men was the lowest, even after adjustments for age and blood pressure. Conversely, the incidence in the low Hct group of women was significantly higher than that in the normal Hct group and was consistently increased with tune during 2-5 years of the follow-up. After the 6th year or later, however, the incidence was gradually but significantly increased hi the Ugh Hct group, compared with the normal Hct group. Since Hct levels were related with other variables such as serum total cholesterol, serum total protein, Quetelet index and prevalence of hypertension in both sexes, heavy alcohol consumption in men, and glucose Intolerance in women, such variables were taken into account using Cox's proportional hazards regression model. The low Hct in women remained important as an independent risk factor of cerebral Infarction.The sex difference hi the role of Hct as a cause of cerebral infarction was discussed, taking into consideration the interrelationship between Hct and other risk factors.

Partial discharge (PD) detection using a UHF (ultra high frequency) band signal is a well known advanced insulation diagnosis method in gas insulated switchgear (GIS), and has been actively studied. Detailed investigation of electromagnetic (EM) wave propagation inside the GIS tank is required for significant improvement of detecting PD signal by UHF method. When practically applying the UHF method to GIS insulation diagnostics, it is necessary to examine the effects of GIS components such as circuit breakers, isolators and disconnectors on EM wave propagation properties. In this paper, attention is paid to the effects of a disconnecting part of a high voltage (HV) conductor like a circuit breaker or a disconnector in GIS.To examine the effects of disconnecting part, the gap length of the disconnecting part was set as parameter, and waveforms and frequency spectra of the propagation PD-induced EM wave were measured with UHF sensors. For the purpose of discussing the effects of the disconnecting part theoretically, a finite difference time domain (FD-TD) simulation was also carried out. The experimental results show that the PD-induced wave could propagate through the disconnecting part with higher frequency components over the cutoff frequency components of TE11 mode for disconnecting part, i.e. cylindrical shape formed by GIS tank without HV conductor. The propagation of the lower frequency components below the TE11 mode depended on the gap length of the disconnecting part.Index Terms -Gas insulated switchgear (GIS), partial discharge (PD), electromagnetic (EM) wave, UHF (ultra high frequency) method, TE11 mode, cutoff frequency, insulation diagnosis, disconnecting part, finite difference time domain (FD-TD).