1.Effect of moxibustion on hypophysectomized rat.
Makoto MURAI ; Mayumi YAMAUCHI ; Hatsue ASAOKA ; Takako KASAHARA ; Kozi SAKAMOTO
Journal of the Japan Society of Acupuncture and Moxibustion 1987;37(1):24-29
The effect of moxibustion on the endocrinosis elicited by disorders of the autonomic nervous system was investigated in hypophysectomized rat.
Natural gain of body weight was stopped, adrenals and testis became atrophied, urinary output increased, and the rectal temperature slightly dropped after hypophysectomy.
Applying moxibustion did not correct these synptoms.
Furthermore, in spite of electrolyte and amino acid metabolism, significant decrease of Na, K, Cl, Ca and a slight decrease of urea nitrogen and creatinine in urine was recognized. But these were not modify by moxibustion.
With respect to the adrenal cortical study, there were a slight increase of 17-OHCS and a mild decrease of 17-KS in urine. Moxibustion did not effect either 17-OHCS or 17-KS.
2.Serial Epidemiological Studies of Hepatitis B Virus in a Village
Kimio Fujita ; Shigenobu Terashima ; Fumio Tsuda ; Mitsunobu Imai ; Makoto Mayumi
Journal of the Japanese Association of Rural Medicine 1977;26(2):147-151
The results obtained from epidemiological studies of hepatitis B antigen-antibody system in a rural village were reported. The studies were carried for 5 years on 2719 persons. Among them 1.1% were chronic surface antigen carriers, 0.2% were transiently antigen-positive in turn and 20.0% were antibody-positive.
Some of the antigen carriers showed familial clustering. All surface antigen carriers with e-antibody, however, did not show familial clustering except one case. Subtype of adr is prevalent in this area. 13of15persons whose subtypes were identified, showed adr subtype. The remaining2were adw, and they were sporadic cases with no familial clustering. In a community a large family pedigree of carriers was discovered. Both antigen and antibody were prevalent among persons living in the community.
Among pick-upped 144 persons who showed abnormal liver functions, 12 (8.3%) were found to be surface antigenpositive
3.The immediate effects of various treatment styles
Masamichi NAKAMURA ; Mayumi YAKAME ; Hideki SAITO ; Makoto MURAI
Journal of the Japan Society of Acupuncture and Moxibustion 2012;62(2):140-147
[Objective]In clinical practice, it is important that patients experience symptomatic improvement or at least gain a certain level of satisfaction early on during a series of treatments. Most patients decide whether or not to return to the clinic based on these factors. At our school, students are trained in protocols from three different treatment styles:modern acupuncture, meridian acupuncture (based on classic acupuncture) and traditional Chinese medicine. In this study, we investigated the characteristics of each style, such as the presence of immediate effects and the types of sensations perceived by patients.
[Methods]Questionnaires were given before and after treatment to 177 patients who came to the clinic associated with our teacher training course for acupuncture, moxibustion and massage. We received valid responses from 169 patients. The practitioners surveyed were second-year students who had treated the surveyed patients 1.2 times on average prior to answering the questionnaire. Before treatment, patients were asked about their main complaints and symptoms, and afterward about changes in their symptoms, satisfaction level and other sensations. The resulting data was subjected to statistical analysis.
[Results]The style chosen by most practitioners was modern acupuncture, followed by meridian acupuncture, and then traditional Chinese acupuncture. Most lower back, leg and joint pain was treated with modern acupuncture protocols, while internal disorders were more often treated with meridian acupuncture or traditional Chinese acupuncture. All three styles were able to alleviate symptoms and achieve patient satisfaction with no statisticallysignificant differences among the three groups.
[Discussion]The results demonstrated that training practitioners in these three styles for one year helped them achieve positive and immediate effects. While there are many different styles of acupuncture, in actual clinical practice, the style is less important than how much a patient feels the effect of the treatment.
[Conclusion]All three styles, modern acupuncture, meridian acupuncture and traditional Chinese acupuncture, were able to alleviate symptoms and achieve patient satisfaction with no statistically significant differences among them.
4.Impact of COVID-19 Infection on Work Functioning in Japanese Workers: A Prospective Cohort Study
Makoto OKAWARA ; Keiki HIRASHIMA ; Yu IGARASHI ; Kosuke MAFUNE ; Keiji MURAMATSU ; Tomohisa NAGATA ; Mayumi TSUJI ; Akira OGAMI ; Yoshihisa FUJINO ; For the CORoNaWork Project
Safety and Health at Work 2023;14(4):445-450
Background:
The impact of COVID-19 infection on workers' work function persists even after the acute phase of the infection. We studied this phenomenon in Japanese workers.
Methods:
We conducted a one-year prospective cohort study online, starting with a baseline survey in December 2020. We tracked workers without baseline work functioning impairment and incorporated data from 14,421 eligible individuals into the analysis. We estimated the incidence rate ratio for new onset of work functioning impairment due to COVID-19 infection during follow-up, using mixed-effects Poisson regression analysis with robust variance.
Results:
Participants reporting infection between January and December 2021 showed a significantly higher incidence of new work functioning impairment (adjusted incidence rate ratio: 2.18, 95% confidence interval: 1.75–2.71, p < 0.001). The formality of the recuperation environment correlated with a higher risk of work functioning deterioration in infected individuals (p for trend <0.001).
Conclusion
COVID-19-infected workers may continue to experience work difficulties due to persistent, post-acute infection symptoms. Companies and society must urgently provide rehabilitation and social support for people with persistent symptoms, recognizing that COVID-19 is not just a transient acute infection.
5.Qualitative Evaluation of Nursing Students’ Feedback Concerning a Terminal Care Simulation
Anri INUMARU ; Tomoko TAMAKI ; Yumie YOKOI ; Mayu TOMITA ; Makoto FUJII ; Mayumi TSUJIKAWA
Palliative Care Research 2018;13(2):181-186
Purpose: To clarify the contents of nursing students’ feedback after they participated in a terminal care simulation. Method: Free description type answer sentences were analyzed qualitatively using Berelson’s content analysis. Results: Participants were 39 students. Feedback contents were divided into 334 recording units. As the result of analysis, 13 categories, including “acquisition of knowledge on communication,” “evaluation on method of implementation,” “self-understanding on nursing,” “self-positive-prospect on nursing,” “acquisition of knowledge on terminal care,” “evaluation on simulation ambience,” “acquisition of learning opportunities,” “self-positive-changing on nursing,” “effect of debriefing,” “effect of experience,” “feeling of reality,” “acquisition of knowledge on nursing” and “evaluation on faculty’s intervention” were formed. Conclusion: It was suggested that simulated patients contributed to making end of life clinical settings because the realism of the simulation had been apparent from the results. To make the terminal care simulation more developed, future studies should investigate how to give a briefing, and so on.
6.The Impact of End-of-life Care Simulation on Resilience for Nursing Students: A Study by Randomized Controlled Trial
Yumie YOKOI ; Tomoko TAMAKI ; Anri INUMARU ; Makoto FUJII ; Mayumi TSUJIKAWA
Palliative Care Research 2020;15(2):153-160
Objective: This study evaluated the effectiveness of an end-of-life care simulation as a way to improve nursing students’ resilience. Methods: In total, 61 baccalaureate nursing students were randomly assigned to control or education groups. In this randomized controlled study on an end-of-life care simulation, resilience was measured at baseline, and after the simulation. Result: At the baseline, the two groups showed no statistical differences in their resilience scores. However, the total score, and scores for the factors “I am”, “I have”, and “I will/ do” were significantly higher for the education group than the control group in the post-test. The total scores and three factor scores within the education group were also significantly higher in the post-test than at baseline, but in the control group only the “I am” factor significantly increased over time. Conclusion: The end-of-life care simulation scenario showed the potential to increase the resilience of participants, especially their ability to build trusting relationships with others and expand their network, and to set goals and grow toward them.
7.Qualitative Assessment of End-of-life Care Simulation in Nursing University Students Using a Review Sheet: Replication Report for University B
Anri INUMARU ; Tomoko TAMAKI ; Yumie YOKOI ; Makoto FUJII ; Mayumi TSUJIKAWA
Palliative Care Research 2021;16(1):59-66
Purpose: This study aimed to implement an end-of-life care simulation that was assessed at one facility (University A) on nursing university students in a different educational environment (University B), and assess the simulation through a review. Method: After the simulation, participants were asked to freely comment on the review sheet and the contents were analyzed. There were 12 participants. Results: Comments on the review sheet were summarized in 13 categories: self-understanding of nursing, realization of one’s positive view regarding nursing, acquisition of knowledge regarding communication, acquisition of knowledge regarding end-of-life, gaining learning opportunities, realization of effects from debriefing, positive change one experiences regarding nursing, acquisition of knowledge regarding nursing, realization of reality, assessment of teachers’ involvement, assessment of implementation method, assessment of the atmosphere of the venue, and assessment of experiences. Conclusion: Participants of the simulation can be expected to gain a similar learning experience regardless of the learning environment.