1.Effects of stretching, sport massage, light exercise and hot pack on recoveries of work capacity and blood lactate after strenuous exercise.
MASAYOSHI YAMAMOTO ; TOSHIHARU YAMAMOTO
Japanese Journal of Physical Fitness and Sports Medicine 1993;42(1):82-92
The effects of stretching, sport massage, light exercise (80% of the subjects' anaerobic threshold), and hot pack on the recoveries of work capacity and blood lactate (La) after strenuous exercise were compared with the resting recovery conditions. In each experiment for the four recovery strategies, twelve male physical education students participated as subjects. The subjects performed 5-s maximal effort cycle ergometer exercise bouts, repeated 8 times with 20-s rests (W 1) . A 33-min rest period was given after W 1, and then the same exercise as W 1 was performed again (W 2) . During the rest period (from 9 to 19min after W 1), one of the recovery strategies was practiced for 10min. The subjects also participated in a control experiment (rest recovery) on another day. Blood samples were taken from the earlobe to determine La. The rate of work capacity recovery was significantly higher than the control when stretching was performed, but no significant difference was observed in the recovery rate of La. The same tendency was also observed in the case of sport massage. In the case of light exercise, on the other hand, the recovery rate of La was significantly higher than the control, whereas the recovery rate of work capacity was not significantly different. Many of the subjects complained that the intensity of light exercise was too hard. No significant differences were found in the recovery rates of both work capacity and La by application of a hot pack. These results suggest that stretching and sport massage are effective for accelerating recovery of work capacity. Light exercise was not effective in this study. However, considering previous investigations which showed light exercise to be effective, it might be effective if an abequate work intensity is given. A hot pack is suggested not to be effective. No significant correlation was observed between the recovery rate of La and that of work capacity. Thus it seems that the recovery of work capacity is regulated by factors other than La.
2. Effects of Ambient Changes on ADLs of Patients As Assessed by Use of Barthel Index
Taizo YAMAMOTO ; Taizo YAMAMOTO ; Taizo YAMAMOTO ; Taizo YAMAMOTO ; Taizo YAMAMOTO ; Taizo YAMAMOTO ; Taizo YAMAMOTO
Journal of the Japanese Association of Rural Medicine 2010; 59 ( 2 ):67-71
When subacute elderly patients are transferred from an acute hospital to a rehabilitation facility, the likelihood is that the environmental change will decrease the patients' ability to perform the basic activities of daily living (ADLs). In this study, we assessed the effects of the ambient changes on ADLs by the use of the Barthel Index, the reliability as well as validity of which is rated high for assessing the patient's fundamental ability. Our subjects consisted of the patients with hemiplegia who had undergone medical treatment of stroke and those who had been operated on for femoral neck fracture (FNF) in Toride Kyodo General Hospital. They were transferred to the convalescent rehabilitation ward (CRW) of Aida Memorial Rehabilitation Hospital, affiliated with our hospital. We compared the BI scores given to the patients by physical, occupational and speech therapists, when discharged from our hospital, and those scores given by nurses within one week after the patients moved to the CRW. Differences between BI scores given at Toride Hospital and those at the rehabilitation hospital averaged -5.9±16.0 points for stroke patients and -7.3±14.1 points for FNF patients. Spearman's rank correlation coefficient of BI scores in the acute hospital and in the CRW for stroke patients was 0.91 (p<0.001) and 0.69 (p<0.001) for FNF. There was no significant difference in changes in BI scores between stroke and FNF. However, there was a tendency for the patients' functional ability in daily living to be assessed lower in the FNF patients than in the stroke patients. This was probably because the former were older than the latter on the average. The average age of the FNF patients was 81.4 years and that of the stroke patients was 68.5 years.
3.Prevention of Dental Caries by Nd: YAG Laser Irradiation.
Journal of the Japanese Association of Rural Medicine 1995;43(6):1186-1194
The different kind and operational modes of lasers irradiation have been compared to determine their effectiveness in inhibiting the formation of an in vitro incipient caries-like lesion.
It is clearly indicated from these experiments that the acousto-optically Q-switched Nd: YAG laser might prove to be the most effective for clinical application.
Laser irradiation was found not only to prevent but also cure incipient enamel caries without cutting lesions and restoring. This irradiation could also prevent the secondary caries at restoration margins with closing the space by fusion between the cavity margins and resinous restorations.
The Nd: YAG laser was effective for treating sensitive root surfaces by closure of dentinal tubule apertures, and also for endodontic treatment by promating additional secondary dentin formation on pulp chamber walls.
4.Etiological Studies on the Gallbladder Cancer Clustered in the Niigata Plains.
Journal of the Japanese Association of Rural Medicine 1996;44(6):795-803
Geographical distribution of standardized mortality ratio (SMR) for biliary tract cancer (BTC) showed a characteristic clustering pattern; high in the northeastern regions and low in the southwestern regions of Japan. Among the 47 prefectures (corresponding to counties in the U. S.) with high SMRs, Niigata Prefecture has been the highest in both sexes for the last two decades. It was found that the cities, towns and villages in Niigata where the mortalities from BTC were high were correspondent with rice producing areas.
In addition, it was revealed that the sources of tap water in the cities with high SMRs in Niigata were commonly big rivers, whereas in those with low SMRs they were either reservoirs located in the mountains, underground water or small river originating from the mountains. Based on these findings, the contamination of tap water by agricultural chemicals form paddy fields was suspected as a cause of the high mortality from BTC. Among several chemicals examined, diphenylether herbicide, chlornitrofen (CNP) and its derivative (CNP-amino) were detected high in tap water in the cities with higher SMRs and they seem to be related to the occurrence of BTC, particularly of female gallbladder cancer.