2.Glinical Trials in Japan and Korea-The Present State and Issues to be Solved-
Norihito TAKAHASHI ; Eiji SUMIYA ; Sang-Hoon LEE ; Sung-Chul KIM ; Kiichiro TSUTANI ; Yong-Suk KIM ; Kenji KAWAKITA
Journal of the Japan Society of Acupuncture and Moxibustion 2006;56(2):127-139
The purpose of this workshop was to discuss on various issues for the development of a protocol for the Ja pan-Korea research collaboration. An important issue is to select/develop the experimental design of the clinical trial for individualized therapy done in Japan and Korea. Randomizedn-of-1 trial and randomization test were proposed as an possible candidate. A pilot study using randomized n-of-1 trial was done using intradermal acupuncture on pollinosis, and the methodological issues on the generalizability of randomized n-of-1 trial and the need of the selection of target disease were discussed. Onthe other hand, the literature survey has shown that the individualized acupuncture therapy is more effective than those of the standardized' fixed acupuncture therapy in usual RCTs. The diagnosis and selection of acupuncture point and method of manipulation were also shown to be an important factor. Further discussions will be required for the development of the adequate protocol for the individualized therapy.
3.Randomized Controlled Trials (RCTs) of Acupuncture and Moxibustion in Japan at the Present and the Future Issues.
Etsuko INOUE ; Toshiyuki SHEIKHDOM ; Tomoyuki NABETA ; Eiji SUMIYA ; Takashi UMEDA ; Shigekatsu AIZAWA ; Atsushi NISHIDA ; Norihito TAKAHASHI ; Hideki OCHI ; Syouhachi TANZAWA ; Kenji KAWAKITA
Journal of the Japan Society of Acupuncture and Moxibustion 2003;53(5):635-645
The results of multi-center RCT of acupuncture and moxibustion for the prevention of the symptoms of common cold conducted by the financial support of the foundation for training and licensure examination in anma-massage-acupressure, acupuncture and moxibustion were briefly reviewed. Traditional acupuncture manipulation to the throat induced significant positive effects, however, more common indirect moxibustion to the neck for longer period did not induce the significant effect compared with no-treatment control. Several issues to be resolved were discussed and the shortage of duration of intervention was pointed out as one of the major issues. Then four pilot studies with long-lasting intervention of acupuncture or moxibustion were con-ducted. The effects tended to be more positive, however, they were still unclear. The selection of subjects (students in the acupuncture school) will be the next important issue to be examined.
4.Efficacy of Adenine in the Treatment of Leukopenia and Neutropenia Associated with an Overdose of Antipsychotics or Discontinuation of Lithium Carbonate Administration: Three Case Studies.
Takashi TOMITA ; Hidekazu GOTO ; Kenji SUMIYA ; Tadashi YOSHIDA ; Katsuya TANAKA ; Yukinao KOHDA
Clinical Psychopharmacology and Neuroscience 2016;14(4):391-395
Because adenine is effective for managing cases of radiation-induced and drug-induced leukopenia, it may be effective in cases of antipsychotic-induced leukopenia and neutropenia. Here, we report our experience with patients with leukopenia and neutropenia caused by an antipsychotic overdose or discontinuation of lithium carbonate, in whom adenine administration ameliorated the white blood cell and neutrophil counts. The progress of patients suggests that adenine is effective in cases of leukopenia and neutropenia associated with lithium carbonate discontinuation and an antipsychotic overdose.
Adenine*
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Antipsychotic Agents*
;
Humans
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Leukocytes
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Leukopenia*
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Lithium Carbonate*
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Lithium*
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Neutropenia*
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Neutrophils