1.An Epidemiological Study on Hookworm Infection in Remote Rural Areas of Miyazaki Prefecture
Jun-ichi IMAI ; Yoshizo TSUNETOSHI ; Hiroshi HIROSE
Journal of the Japanese Association of Rural Medicine 1980;29(4):647-653
Parsitological surveys were conducted to study the recent trend of hookworm infection in remote rural areas of Miyazaki Prefecture, south Japan. Kate's thich smear and test-tube filter paper culture techniques were performed on 837 fecal samples collected from four villages. Prevalence rate of hookworm infection was 13.0% average and that of other intestinal helminths was less than 2.0%. In these districts Ancylostoma duodenale was predominant and species ratio with Necator americanus was 81: 27. Mixed infecttion was few as compared with past record. Prevalence rate and age distribution of N. americanus infection showed a considerable difference between sexes and especially the infection rate was higher in women than man, also the carriers ratio with man was 8: 1. As to the geographical distribution of both species in a village there was a certain tendency of single species infection in a unit of small community.
However, prevalence of hookworm infection in these communities showed a considerable distinction with one another.
2.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.
3.Clinical application of acupuncture on temporomandibular disorder in a patient with disc disorders
Yoichi MINAKAWA ; Kazunori ITOH ; Kenji IMAI ; Hideaki OHYABU ; Hiroshi KITAKOJI
Journal of the Japan Society of Acupuncture and Moxibustion 2010;60(5):837-845
[Objective]Acupuncture has been reported to be useful for temporomandibular disorders. There have been many reports on muscle problems in temporomandibular disorders (TMD) but only a few reports on disc problems. We report on the use of acupuncture in a temporomandibular disorder patient with disc disorders.
[Case]A 19-year-old female complained of pain upon opening her mouth and trismus. We applied acupuncture with the aim of resolving the disc problems and providing analgesia by a contributing muscle needling approach.
[Methods]The following were measured:intensity of jaw pain, anxiety and satisfaction (visual analogue scale:VAS), position and form of disc and caput mandibulae (MRI) and presence of jaw deviation.
[Results]The following were improved after acupuncture treatments:intensity of jaw pain, anxiety and satisfaction, limitation of jaw movement and jaw deviation. However, the positions of the discs did not change.
[Conclusion]These results suggest that acupuncture may be effective for temporomandibular disorder patients with disc disorders.
4.Effects of electroacupuncture on menstrual cycle at puberty
Reina TAGUCHI ; Sazu YOSHIMOTO ; Kenji IMAI ; Hiroshi KITAKOJI
Journal of the Japan Society of Acupuncture and Moxibustion 2012;62(2):148-156
[Objective]To clarify the effects of electroacupuncture (EA) on the menstrual cycle at puberty, we investigated whether or not EA influences the menstrual cycle, the number of ovulations, and the duration of the high-temperature phase. Also we investigated the improvement of menstrual disorder and changes in body mass index (BMI) by EA treatment.
[Methods]Twenty-five female students participated in this study.
Non-treatment periods from three to four months were evaluated before EA treatment. During treatment, EA was performed once a week. We compared the menstrual cycle, the number of ovulations, and the duration of the high temperature phase for non-treatment and EA treatment periods. To evaluate the relation between BMI and improvement of menstrual disorder by EA, female students were divided into two groups, improvement or not-improvement group.
[Results]Twenty female students were analyzed in this study. In those with extended periods of amenorrhea, the menstrual cycle became significantly shorter during EA (P< 0.001). In those with polymenorrhea, the menstrual cycle became significantly longer during EA (P< 0.05), reaching a normal cycle length. Improvement of the menstrual cycle was found in 30.0%of the subjects. However, an increase in the number of ovulations and extended duration of the high temperature phase were found in 20.0%and 25.0%of the subjects, respectively. Although BMI did not vary significantly between the improvement and the not-improvement groups, the percentage of those with normal weight tended to be higher in the improvement group than in the not-improvement group.
[Conclusion]These findings suggest that EA influences follicular growth. However, it had been thought that EA could not influence ovulation or affect luteal function. Additionally, when BMI is nearly normal, it appears more likely that acupuncture is effective for menstrual disorder at puberty.
5.The Effect of a Hinoki Cypress Bath on the Autonomic Nervous System Function, Emotion, and Relaxation
Yasunori MORI ; Takemi INUKAI ; Hiroshi ISSHIKI ; Nami IMAI
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 2016;advpub(0):-
Objectives: Bathing in a bathtub made of hinoki cypress may promote relaxation. This study focuses on changes in autonomic nervous system function, and emotional assessments of individuals who bathed in a hinoki cypress bathtub.
Methods: All 16 study participants bathed twice, as interventions in this study. The baths consisted of bathing in a hinoki cypress bathtub and in a modular bathtub as the control experiment. During the study, participants wore a holter monitor. Before and after bathing, saliva samples were collected for cortisol measurement, and participants underwent a subjective emotional assessment, the Mood Check List-Short Form.2 (MCL-S.2). After bathing, an additional subjective emotional assessment, the Visual Analog Scale (VAS), was performed.
Results and Discussion: The emotional assessments in the MCL-S.2 indicated a significant increase in positive emotional scores (“pleasantness”) after bathing in a hinoki cypress bathtub. The VAS scores showed a significant decrease in the “feeling of fatigue” after bathing in a hinoki cypress bathtub, compared to bathing in a modular bathtub. These results suggest that study participants who bathed in a hinoki cypress bathtub experienced positive effects, and decreased feelings of fatigue. The salivary cortisol concentration decreased significantly after bathing in the hinoki cypress bathtub and in the modular bathtub. For both the hinoki cypress bathtub and the modular bathtub, the high frequency (√HF) values collected with the holter monitor after bathing, were higher than the √HF values collected prior to bathing. The results suggest that bathing in water temperatures of 38-39°C for 15 min enhances relaxation, and has a positive effect on the human body.
6.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.
7.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.
9.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.
10.Project for recycle of the plastic needle tube at Center of Acupuncture Science of Meiji University of Integrative Medicine.
Kenji IMAI ; Youichi MINAKAWA ; Syusaku OMIYA ; Sazu OSHIMOTO ; Hiroshi TANIGUCHI ; Reina TAGUCHI ; Hiroyuki TSURU ; Hiroshi KITAKOJI
Journal of the Japan Society of Acupuncture and Moxibustion 2009;59(2):134-135