No abstract

Out of the "Report on Workers' Casualties" presented by the employers in the entire nation in 1986 and 1988 to the Labor Standards Inspection Offices, 13,166 cases diagnosed as low back pain (5,820 cases in 1986 and 7,346 cases in 1988) were sampled and studied. This survey revealed that its incidence in men was about 4 times greater than that in women, being noted uniformely in all age groups except the 50 or older age group in men. As to types of industry, it was seen to be high in those working in the mining and cargo industries, as well as those working in the transport, traffic, forestry and agriculture, livestock, and fishing industries.As to the types of occupation, the incidence of low back pain was high in those working in transportation and construction. Onset was noted every month throughout the year, but a little less in December. It was pronounced at the beginning of the week, and seemed to peak immediately after starting the day's work, at 9 a.m. followed by 10 a.m. There was a trend toward accidental low back pain being caused frequently when one worked in an unnatural posture, especially in regular work when acting single-handed.

No method has yet been established to evaluate the exposure to tobacco smoke in passive smoking (PS). We therefore conducted a study on the possibility that the levels of urinary trans, trans-muconic acid (MA) and the exhaled carbon monoxide (CO) could be indices of the passive exposure to tobacco smoke. The moderate correlation was observed between urinary MA levels and the number of consumed cigarettes per day in smokers. The mean urinary MA level of the PS (+) group was significantly higher than that with the PS (-) group. Among the PS (+) group, the mean MA level in the urine obtained in the afternoon was higher than that obtained in the morning . A high correlation was observed between the exhaled CO levels and the number of consumed cigarettes per day in smokers. Like the urinary MA level, the mean exhaled CO level in the PS (+) group, too, gave a significantly higher level than in the PS (-) group. Because the biological half life of MA (7.5 ± 0.85 h) was longer than that of CO (3.0 ± 0.36 h), the measurement of urinary MA level is recommended for evaluating the exposure of passive smoking. The measurement of exhaled CO levels is useful only for chain smokers and nonsmokers with PS just before measurement .

We experienced the successful management of infected aortic aneurysms secondary to streptococcal toxic shock syndrome. The development of infected aortic aneurysms should be considered in the case of streptococcal toxic shock syndrome in patients having a medical history of aortic aneurysms.