1.Nature of the Local Differences in Electroconductivity by D. C. Measurement
Hirohisa ODA ; Toru SATO ; Kazuhiro MORIKAWA ; Seikichi WADA
Journal of the Japan Society of Acupuncture and Moxibustion 1983;33(2):154-161
In order to clarify the physiological nature of the local differences in the skin electroconductivity we measured transcutaneous electric current on the representative (determinate) points of Ryodo-Raku (by Y. Nakatani) which correspond to so-called Genketu of traditional Chinese medicine with a wet electrode of 1cm in diameter in the condition of D. C. 12 volts and 200 uA when, both electrodes are directly connected. Eighty-two healthy adults were tested once and four other healthy adults were tested daily for eight days. We analysed mathematically the values of measurements by the principal component analysis.
As a result, we found that the electroconductivity of the skin in the upper and lower limbs both, and volar and dorsal sites of the upper limb changed independently each other and showed from rough to close interrelations according to the orders as above-mentioned.
2.Changes in electro-current of the back induced by lumbar and thigh point needling stimulation.
Seikichi WADA ; Yoji INADA ; Kazuhiro MORIKAWA ; Kyoichi KUROIWA ; Hirohisa ODA
Journal of the Japan Society of Acupuncture and Moxibustion 1985;34(3-4):246-251
We investigated changes of the amperage on the dorsalis by the hand acupuncture under the condition of DC 12 volt, 200uA when both electrodes are connected.
(Method) We leaved a stainless steel needle, 25mm lenght and 0.26mm in diameter, on the first lumbar and thigh region point of 16 healthy adults for 10min. 2×2cm aluminum foil coated with keratin cream was used as a elcectrode for the measurement. We measured in pre-practice, post-practice, 10min, 20min, and 30min. The measurement velues in every time were examined by means principal component analysis.
(Results) Acupuncture stimulation on the first lumbar and thigh region point showed the tendency of operation upon the symmetric L4resion.
4.Behavior of Adult Influenza Patients during the 2009 Pandemic after Outpatient Clinic Presentations at a Hospital in Tokyo, Japan
Daisuke Nonaka ; Hirohisa Morikawa ; Hiroko Arioka ; Jun Kobayashi ; Ryosuke Shoda ; Tetsuya Mizoue
Tropical Medicine and Health 2011;39(3):83-85
The 2009 pandemic of novel swine-origin influenza A (H1N1) highlighted the importance of community mitigation measures such as voluntary isolation. During the pandemic, we investigated the voluntary isolation behavior of patients with influenza during the 7-day period after they visited an outpatient clinic at a hospital in Tokyo, Japan. A questionnaire-based survey was conducted on patients diagnosed with influenza. Of a total of 14 patients, 13 (93%) visited a workplace, school or other potentially crowded setting at least once in the 7-day period after presentation. Five patients (36%) visited a potentially crowded setting either with a fever or on the day after having a fever. The voluntary isolation behavior of Japanese people with influenza did not necessarily adhere to the Japanese government recommendation that people with influenza-like illness stay home for 7 days following the onset of symptoms.
5.Points requiring attention in primary-care settings in the treatment of patients with acute drug intoxication
Yoshinori Masui ; Naonori Tsuda ; Takeshi Nishiyama ; Junwa Kunimatsu ; Tomonori Mizutani ; Sumie Moriyama ; Reo Yoshikawa ; Hiroki Adachi ; Hidetaka Hamasaki ; Hirohisa Morikawa ; Kazuhiro Honda ; Hiroshi Kaneko ; Shuichi Mishima ; Atsuto Yoshizawa ; Hidekatsu Yanai
An Official Journal of the Japan Primary Care Association 2011;34(2):115-123
Objective: To develop an effective and safe therapeutic strategy, we studied the effect of the clinical characteristics of patients with acute drug intoxication on the duration of hospitalization.
Subjects and Methods: The subjects were 89 patients hospitalized for acute drug intoxication. They were divided into two subgroups; the short hospitalization group (duration of hospitalization < 7 days) and the long hospitalization group (duration of hospitalization ≥ 7 days). We compared age, sex, vital signs, drugs, and therapy between the two groups.
Results: There were no significant differences in sex or severity of consciousness disturbance between the short- and long-hospitalization groups. Age in the latter group was higher than that in the former, and age was significantly and positively correlated with the duration of hospitalization. Prolongation of hospitalization in patients with Japan Coma Scale (JCS) I or II is associated with psychiatric disease, and in patients with JCSIII, with physical disease. We used direct hemoperfusion (DHP) to treat patients with severe acute drug intoxication. The duration of hospitalization in patients treated by DHP tended to be shorter than those not so treated.
Conclusions: The present results suggest that aging is associated with prolongation of hospitalization and the onset of physical disease among patients with acute drug intoxication. When elderly patients with acute drug intoxication are treated in a primary-care setting, the question of whether or not physical diseases are present as complications should be considered. The appropriate use of DHP for the treatment of patients with severe acute drug intoxication requires further study.