1.Incidence of Obesity in School Children in Rural and Urban Areas in Hokkaido, With a Report of Cases of Fatty Liver in Obese Children
Toshio Imai ; Kenji Fujieda ; Yuichi Goto
Journal of the Japanese Association of Rural Medicine 1984;33(1):42-45
The incidences of obesity in school children of urban area were compared with those of rural area, using Rohrer index as a parameter of obesity.
Body weight and height were measured in primary schools of both areas on May, 1982. The subjects studied were 2054 boys and 1887 girls in the ages from 6 to 12 years.
Incidences of obesity in urban and rural areas were 7.5% and 8.6% respectively (p<0.05).
For boys, average incidences of obesity in urban and rural school were 8.1%, and 7.5%, respectively. For girls, they were 7.2%, and 7.6%, respectively.
These results showed that there were no significant differences in incidences of obesity between the two districts and both sexes of school children.
We also found the eight cases of fatty liver in obese children.They were six boys and two girls, aged from 8 to 15.
In 7 of eight cases, obesity started from early childhood. During the first six months of life, they were fully fed cows milk formula. Of the cases, one developed hypertension, and two had hyperlipidemia.
With accurate exercise and optimal nutritional treatment, obesity, hepatic involvement and hypertension promptly improved. However, three cases had frequent recurrences.
Abdominal CTwas examined in six cases of the eight obese children with hepatic involvement. They showed that there were low CT numbers of liver in obese children with hepatic involvement.
The usefulness of abdominal CT in terms of evaluation of fatty liver in obese children was discussed.
2.Effect of Acupuncture Stimulation on Optokinetic Motion Sickenss Monitored by Electrogastrograms.
Mayumi SHIOMI ; Kenji IMAI ; Masakazu SAKITA
Journal of the Japan Society of Acupuncture and Moxibustion 2003;53(1):71-80
Objective : To investigate the effect of acupuncture stimulation at PC6 (Neiguan, Naikan) on optokinetic motion sickness, motion sickness scores were evaluated and changes in electrogastrograms (EGG) were analyzed in each subject.
Methods : Thirty-six normal volunteers were randomly divided into three groups : electrical acupuncture group, retaining needle group, and no treatment group.
Subjects were exposed to a rotating optokinetic drum to induce vection. EGG was recorded continuously before, during, and after the rotation exposure, each period being fifteen minutes in length. To evaluate the severity of motion sickness in each subject, subjective symptoms of motion sickness (SSMS) score and visual analogue scale (VAS) were obtained.
Results : The severity of nausea which is one of main symptom of motion sickness was suppressed, and the percentage of normal 2?4 cpm band of EGG activity was increased earlier after drum rotation exposure in the retaining needle group than in the no treatment group.
Conclusion : From these results, we conclude that the retaining needle stimulation of the PC6 acupoints was effective for optokinetic motion sickness possibly by suppressing abnormal gastric myoelectric activities.
4.Acupuncture Treatment in a Patient with Impaired Defecation and Urination After Radical Operation for Uterine Cervical Cancer.
Keisou ISHIMARU ; Masahiro IWA ; Kenji IMAI ; Hiroshi KITAKOUJI ; Masakazu SAKITA
Journal of the Japan Society of Acupuncture and Moxibustion 1999;49(1):15-18
A patient with uterine cervical cancer underwent radical operation and radiotherapy in 1956 and subsequently began to suffer from impaired bowel movements. For the next 40 years, a large amount of cathartics was used to induce defecation, a urination was induced by applying abdominal pressure, but a large volume of urine remained. In this patient, the effects of acupuncture treatment were evaluated using the vesical residual urine volume as measured by abdominal ultrasonography. After acupuncture treatment, defecation became easily, and the amount of cathartics could be reduced. Simultaneously, spontaneous urination became possible, and residual urine disappeared.
5.Clinical Usefulness of Ankle Pressure index for Acupuncture Patients with Lower Back Pain.
Hisashi HONJO ; Keiji OHARA ; Yoshinobu ODAHARA ; Kenji IMAI
Journal of the Japan Society of Acupuncture and Moxibustion 2000;50(3):451-456
This study investigated the population prevalence of chronic arterial occlusion (CAO) using the ankle pressure index (API) of patients with lower back pain in an acupuncture clinic. The API was measured in 60 lumbago patients ≥ 50 years old at the Meiji College of Oriental Medicine Acupuncture Center. There were 19 patients (31.7%) with unilateral or bilateral API < 0.9, which was presumed to indicate CAO. Thirty-four patients had symptoms in the lower limbs, and 17 of 34 patients showed an API below 0.9. In all but 4 patients (13 of 17, or 76.5%), laterality of the lower API and the symptoms were noted. In conclusion, API measured noninvasively might be useful as a predictor of CAO in acupuncture clinics.
6.Changes in Muscular Blood Flow Induced by Acupuncture in Rat Ischemic Hindlimb
Tsuyoshi ODA ; Kenji IMAI ; Hisashi SHINBARA ; Masakazu SAKITA
Journal of the Japan Society of Acupuncture and Moxibustion 2004;54(2):163-178
[Objective] The effects of acupuncture on muscular blood flow, muscular weight, and muscular dynamics were investigated in the rat hindlimb with induced hypoemia. In addition, the optimal conditions for acupuncture in the model were investigated.
[Methods] In male SD rats, the right femoral artery was cut, and a No. 20 40-mm stainless needle was inserted about 3-5 mm into the anterior tibial muscle of the ischemic hindlimb for acupuncture. During acupuncture, the needle was indwelled or electric current was passed, and various stimulations (5h/day, 1 h × 5 times/day, 15 min × 5 times/day, 1 h/day, and 15 min/day) were applied for 5 consecutive days. Seven days after cutting the artery, blood flow was measured by the radioactive microsphere method, and the degree of muscular atrophy was investigated by the weight ratio of the ischemic hindlimb to the contralateral healthy limb, and findings in the intact, hypoemia, hypoemia + indwelled needle, and hypoemia + various current groups were compared. In addition, the anterior tibial muscle was stained to observe the condition of muscular fibers.
[Results and Discussion] In the ischemic group, muscular blood flow was decreased. In the hypoemia+current groups, blood flow was increased. In the groups that received electric current for a prolonged period, 5 h/day and 1 h ×5 times/day, the blood flow was increased but the muscular weight ratio was decreased. However, in the group that received stimulation for 15min×5 times/day, the muscular blood flow was markedly higher that those in the other groups, and the muscular weight ratio was not changed, showing that muscular atrophy did not occur. On staining, capillary neovascularization and VEGF production were greater than those in the hypoemia group, suggesting that these factors were closely involved in the increase in blood flow.
7.Effects of acupuncture treatment for menstrual pain.-Study by Ringheaded thumbtack needle-
Sazu YOSHIMOTO ; Reina TAGUCHI ; Kenji IMAI ; Hiroshi KITAKOUJI
Journal of the Japan Society of Acupuncture and Moxibustion 2009;59(4):406-415
[Objective]We examined the effects of acupuncture treatment at Sanyinjiao (SP6) on menstrual pain in female students. In addition, the correlation between the effects of acupuncture treatment and the neurosis were evaluated.
[Methods]Fifty-one female students were participated in this study as the subject. Acupuncture treatment using Ringheaded thumbtack needle were performed to bilateral SP6 for the three months. Non-treatment periods for three months were set in before and after acupuncture period, respectively. Patients received the Ringheaded thumbtack needle through four days in a week. The effectiveness of treatment was evaluated using the categorical scale for the severity of menstrual pain accompany with numbers of taking drugs for analgesic. To evaluate the correlation between effects of acupuncture and neurosis, the tendency of neurosis was confirmed by cornel medical index (CMI) and the perimenstrual symptoms were confirmed by menstrual distress questionnaire (MDQ).
[Results]Twenty-seven subjects were analyzed for evaluation in this present study. During Ringheaded thumbtack needle treatment periods (acupuncture periods), menstrual pain had reduced into 48%of subjects. The number of taking drugs for analgesic was decreased with the reduction of severity of menstrual pain during acupuncture periods (p<0.05). The correlation between the effect of acupuncture and the tendency of neurosis were observed. Acupuncture improved the menstrual pain in the subjects who belong to category I and/or II of CMI. However, no remarkable changes were observed in the III and/or IV subjects of CMI. Furthermore, the high score of fives specific pain into MDQ (shoulder pain, headache, etc) and negative feelings factor were obtained in subjects who accompany with strong menstrual pain still after acupuncture
[Discussion]These findings suggest that menstrual pain was reduced by Ringheaded thumbtack needle to bilateral SP6. Additionally this result was influenced by a psychological factor and/or some kind of pain which is not only menstrual pain.
8.Construction of incident report system in Center of Acupuncture Science, Meiji University of Integrative Medicine
Hiroyuki TSURU ; Masato EGAWA ; Kenji IMAI ; Hiroshi KITAKOUJI
Journal of the Japan Society of Acupuncture and Moxibustion 2010;60(1):64-73
[Objective]To aleviate incidents and prevent medical accidents in acupuncture and moxibustion therapy, we constructed an incident report (IR) system at the Center of Acupuncture Science, Meiji University of Integrative Medicine.
[Methods]The IR system was operated with the center staff as reporters. The staff reported incidents when encountered or found. The cases of incidents were added up per item, and the contents of incidents fed back per month to staff and students. The feedback was given orally at a morning assembly, and a feedback poster was put up.
[Results]There were 146 cases from July 2004 to September 2005. The contents of incidents were 96 cases concerning the environment of treatment, 0for incidents before treatment and 50 during or after treatment. The largest number of incidents in the environment of treatment was 66 cases for inappropriate disposal of instruments. The largest number of incidents during or after treatment was 12 cases in nearly forgetting to remove acupuncture needles from the body.
[Discussion]Ten mean cases per month occurred as incidents. However, it was clear that the incidents in most cases could have been prevented if the acupuncturist had been noticed and took measures to deal with the situation. To prevent medical accidents, we consider a need to continuously feed back the contents of incidents to instructors and students and call them to their attention.
10.Effect of acupuncture treatment on temporomandibular disorders-Questionnaire and acupuncture treatment for university students-
Sayo ASAI ; Kazunori ITHO ; Fukutarou ASAI ; Kenji IMAI ; Hiroshi KITAKOJI
Journal of the Japan Society of Acupuncture and Moxibustion 2010;60(4):728-736
[Purpose]The reason is uncertain though it is assumed that to young people that there are a lot of Temporomandibular disorders (TMD). Then, the questionnaire survey concerning the mandible function was administered for university students, and the clinical trial of the acupuncture treatment that used sham acupuncture for the one where the problem was seen in the mandible function was tried.
[Method]We questioned students at Meiji University of Integrative Medicine by answer selection type concerning the mandible function. The acupuncture treatment was done on 16 students (21.5 ± 1.7 years old;mean ±S.D.) who had problems in the mandible function. The group was divided into two groups (the acupuncture group and the sham acupuncture group) at random. Each group received five acupuncture treatment sessions several times week in total. Outcome measures were pain intensity (visual analogue scale) and function of jaw (mouth opening and muscle power). Each evaluation was assumed to be done before beginning the treatment, and the effect of treatment was assumed to be the one evaluated as a therapeutic gain after one week.
[Result]University students who had some problem in the mandible function were 50%or more of the whole, and a lot of problems were joint noises. On the other hand, the acupuncture group was 67.1 ± 19.1 mm and the sham group was 65.6 ± 15.2 mm. Both groups showed reduction tendencies as the acupuncture group was 9.3± 7.8 mm and the sham group was 40.5 ± 16.7 mm. The acupuncture group reported less pain intensity than the sham acupuncture group (p = 0.0152, Mann-Whitney). However, the true and sham acupuncture groups did not change the function of the jaw.
[Conclusion]A lot of university students who had mandible function problems were unexpectedly regarded as necessary to treat at the early stage. On the other hand, these results suggest that true acupuncture procedures may be more effective on TMD in young patients than sham acupuncture procedures.