1.Influence of the direct moxibustion and moxa-needle stimulation on the epidermal local-Using the oxidation-reduction potential and hydrogen ion concentration as parameters-
Katsuyuki WATANABE ; Shoji SHINOHARA
Journal of the Japan Society of Acupuncture and Moxibustion 2008;58(4):654-664
[Objective]To clarify that acupuncture of Cu and Zn at dynamic acupoints had significantly decreased oxidation-reduction potential (ORP) in the local epidermis. In this study, we evaluated the influences of moxibustion on the ORP and hydrogen ion concentration (pH) in the local epidermis.
[Methods]In volunteers and patient groups, direct moxibustion, moxa-needle and BANSHIN were performed.
[Results]In all stimulation methods, the ORP showed no changes at non-acupoints, but it significantly decreased at dynamic acupoints. A significant decrease in pH was observed after direct moxibustion at both non-acupoints and dynamic acupoints. On the contrary, pH showed a significant increase after moxa-needle, and radiant heat of which had been cut off.
[Conclusion]Direct moxibustion at plus points and moxa-needle at minus points clarified a part of the mechanisms of the effects of direct moxibustion and moxa-needle.
2.Changes in serum mineral levels in athletes before and after a triathlon competition. Comparison between young and middle-aged groups.
SUSUMU SHIRAISHI ; SHOJI SHINKAI ; YOSHIKA KUROKAWA ; SEIJI HINO ; SHUICHIROH WATANABE ; JUNKO TORII ; YUTAKA YOSHITAKE ; HIROMITSU SUYAMA ; TSUTOMU WATANABE
Japanese Journal of Physical Fitness and Sports Medicine 1992;41(3):376-385
Using atomic absorption spectrophotometry, we measured serum mineral (Fe, Cu, Z n, Mg, Ca, K, Na) concentrations in blood of male athletes participating in a triathlon competition held at Nakajima, Ehime in 1989. The athletes were divided into a young group (n=9, 24.2±3.6 yr) and a middle-aged group (n=9, 49.3±4.4 yr) . Blood samples were taken on the day before the competition, at the finish, on the following day and for eight days after.
Immediately after the race, the concentrations of iron, calcium and potassium were increased significantly in sera taken from both groups, and those of copper and zinc were found to be increased only in the young group. In the middle-aged group, serum magnesium and sodium concentrations were decreased significantly. On the day after the race, most of the serum mineral concentrations had returned to values similar to those measured before the race, although the serum sodium concentration in the middle-aged group was still below the previous value, and this low level persisted for eight days after the race in both groups.
Noticeable differences between the young and middle-aged groups were that recovery of increased iron concentration in serum tended to be prolonged in the middle-aged group, and the concentrations of serum copper and zinc were higher than those in the young group throughout the measurement period, with only small changes evident before and after the race. By contrast, serum potassium concentration in the middle-aged group was lower than in the young group throughout the measurement period.
3.Report on the Workshop of the Acupuncture Diagnostics Group: Diagnostic Significance of Palpation on Acupuncture.
Shoji SHINOHARA ; Takayoshi OGAWA ; Tadashi WATSUJI ; Mitsunori SEINO ; Renpu FUJIMOTO ; Katsuyuki WATANABE ; Hozuma NARA
Journal of the Japan Society of Acupuncture and Moxibustion 1997;47(3):147-149
4.A Case of Common Hepatic Aneurysm with Anomalous Origin from the Aorta.
Masafumi HIOKI ; Hiroshi TAKEI ; Masao YANO ; Kazuhiko WATANABE ; Yoshio IEDOKORO ; Shinji MATUSHIMA ; Shigeo TANAKA ; Tasuku SHOJI
Japanese Journal of Cardiovascular Surgery 1991;20(7):1313-1315
We describe a 52 year old woman who had an aneurysm involving the common hepatic artery directly originating from the aorta. It was successfully treated by aneurysmectomy without needing the arterial reconstruction. An aneurysm of the common hepatic artery that has an anomalous origin from the aorta is very rare and only 4 cases including the present case were reported in Japanese literature on our survey. The features and management of hepatic aneurysm are discussed.
5.The Efficacy of Ultrafiltration after Cardiopulmonary Bypass without Homologous Blood Transfusion for Pediatric Cardiac Surgery.
Hiroshi Watanabe ; Haruo Miyamura ; Masaaki Sugawara ; Yoshiki Takahashi ; Mayumi Shinonaga ; Shoh Tatebe ; Masashi Takahashi ; Shoji Eguchi
Japanese Journal of Cardiovascular Surgery 1994;23(2):73-77
Thirty-four patients with congenital cardiac disease were studied to evaluated the role of ultrafiltration after cardiopulmonary bypass without homologous blood transfusion. We used either polypropylene microporous hollow fiber hemoconcentrator (HC-30M or 100M) or polyacrylonitrile microporous hollow fiber hemoconcentrator (PHC-500). Ultrafiltration was useful in the reduction of fluid overloading after cardiopulmonary bypass with extreme hemodilution. Thirty-two patients tolerated the procedure uneventfully without donor blood transfusion and were discharged from the hospital. The values of hematocrit, serum protein and free hemoglobin increased significantly after ultrafiltration with either type of hemoconcentrator. However the degree of concentration of blood components was significantly higher with polyacrylonitrile hemoconcentrator than those with polypropylene hemoconcentrator. These results indicated that ultrafiltration was useful for maintaining water balance after cardiopulmonary bypass without homologous blood transfusion in pediatric cardiac surgery and that polyacrylonitrile microporous hollow fiber hemoconcentrator should be employed in patients with shorter bypass time and less hemolysis.
6.Cleft Lip and Palate Repair Using a Surgical Microscope.
Motoi KATO ; Azusa WATANABE ; Shoji WATANABE ; Hiroki UTSUNOMIYA ; Takayuki YOKOYAMA ; Shinya OGISHIMA
Archives of Plastic Surgery 2017;44(6):490-495
BACKGROUND: Cleft lip and palate repair requires a deep and small surgical field and is usually performed by surgeons wearing surgical loupes. Surgeons with loupes can obtain a wider surgical view, although headlights are required for the deepest procedures. Surgical microscopes offer comfort and a clear and magnification-adjustable surgical site that can be shared with the whole team, including observers, and easily recorded to further the education of junior surgeons. Magnification adjustments are convenient for precise procedures such as muscle dissection of the soft palate. METHODS: We performed a comparative investigation of 18 cleft operations that utilized either surgical loupes or microscopy. Paper-based questionnaires were completed by staff nurses to evaluate what went well and what could be improved in each procedure. The operating time, complication rate, and scores of the questionnaire responses were statistically analyzed. RESULTS: The operating time when microscopy was used was not significantly longer than when surgical loupes were utilized. The surgical field was clearly shared with surgical assistants, nurses, anesthesiologists, and students via microscope-linked monitors. Passing surgical equipment was easier when sharing the surgical view, and preoperative microscope preparation did not interfere with the duties of the staff nurses. CONCLUSIONS: Surgical microscopy was demonstrated to be useful during cleft operations.
Cleft Lip*
;
Cleft Palate
;
Education
;
Humans
;
Microscopy
;
Palate*
;
Palate, Soft
;
Surgeons
;
Surgical Equipment
7.Cleft Lip and Palate Repair Using a Surgical Microscope.
Motoi KATO ; Azusa WATANABE ; Shoji WATANABE ; Hiroki UTSUNOMIYA ; Takayuki YOKOYAMA ; Shinya OGISHIMA
Archives of Plastic Surgery 2017;44(6):490-495
BACKGROUND: Cleft lip and palate repair requires a deep and small surgical field and is usually performed by surgeons wearing surgical loupes. Surgeons with loupes can obtain a wider surgical view, although headlights are required for the deepest procedures. Surgical microscopes offer comfort and a clear and magnification-adjustable surgical site that can be shared with the whole team, including observers, and easily recorded to further the education of junior surgeons. Magnification adjustments are convenient for precise procedures such as muscle dissection of the soft palate. METHODS: We performed a comparative investigation of 18 cleft operations that utilized either surgical loupes or microscopy. Paper-based questionnaires were completed by staff nurses to evaluate what went well and what could be improved in each procedure. The operating time, complication rate, and scores of the questionnaire responses were statistically analyzed. RESULTS: The operating time when microscopy was used was not significantly longer than when surgical loupes were utilized. The surgical field was clearly shared with surgical assistants, nurses, anesthesiologists, and students via microscope-linked monitors. Passing surgical equipment was easier when sharing the surgical view, and preoperative microscope preparation did not interfere with the duties of the staff nurses. CONCLUSIONS: Surgical microscopy was demonstrated to be useful during cleft operations.
Cleft Lip*
;
Cleft Palate
;
Education
;
Humans
;
Microscopy
;
Palate*
;
Palate, Soft
;
Surgeons
;
Surgical Equipment
8.A Case of Aorto-caval Fistula Due to Abdominal Aortic Aneurysm: The Effectiveness of Balloon Occlusion Catheter.
Shoh TATEBE ; Hajime OHZEKI ; Shoh-ichi TSUCHIDA ; Jun-ichi HAYASHI ; Akira SAITOH ; Kazuo YAMAMOTO ; Takehiro WATANABE ; Manabu HAGA ; Shoji EGUCHI
Japanese Journal of Cardiovascular Surgery 1992;21(6):605-608
A case of 65-year-old man of aorto-caval fistula induced by ruptured abdominal aortic aneurysm is reported. The symptoms were hematuria and chest pain, and an emergent operation was performed. In the operation, Fogarty's balloon occlusion catheter was used to reduce bleeding from inferior vena cava, and to prevent pulmonary embolism. The fistula was 3cm in size, and abdominal aorta was replaced with a low porosity polyester Y-graft. The symptoms of pulmonary congestion and hematuria were improved after operation. The balloon occlusion catheter was effective for reducing bleeding from IVC, and prevention from pulmonary embolism after operation.
9.Transcatheter Embolization of Aortopulmonary Collateral Arteries Prior to Intracardiac Repair in Patients with Congenital Heart Disease.
Hiroshi Watanabe ; Haruo Miyamura ; Masaaki Sugawara ; Yoshiki Takahashi ; Mayumi Shinonaga ; Shoh Tatebe ; Masashi Takahashi ; Manabu Haga ; Masahide Hiratsuka ; Shoji Eguchi
Japanese Journal of Cardiovascular Surgery 1996;25(6):345-349
Transcatheter embolization of 25 aortopulmonary collateral arteries (7 bronchial arteries and 18 intercostal arteries) was attempted prior to intracardiac repair in 7 patients. The underlying disease was tetralogy of Fallot in 3 patients, pulmonary atresia with ventricular septal defect in 2, double-outlet right ventricle with ventricular septal defect and pulmonary stenosis in 1 and tricuspid stenosis with pulmonary atresia in 1. The intervals between embolization and intracardiac repair ranged from 0 to 17 days (mean 4.5 days). Embolization resulted in total occlusion in 7 bronchial arteries and 17 intercostal arteries, with an overall success rate of 96%. Complications included a coil dislodgement from a collateral artery into the aorta in one patient, necessitating surgical removal of the dislodged coil from the femoral artery, an exacerbation of cyanosis and dyspnea on exercise in 5, and slight fever in 2. In one patient with tetralogy of Fallot, who had 5 collateral vessels, transcatheter embolization caused hypoxemia, bradycardia and hypotension and therefore intracardiac repair was performed immediately after embolization. Aortopulmonary collateral arteries in patients with congenital heart disease can be effectively treated by transcatheter embolization. Embolization should be performed just before intracardiac repair because an excessive decrease in arterial oxygen saturation after embolization may require an emergency operation.
10.Factor Structure of the Targeted Inventory on Problems in Schizophrenia.
Shoji TANAKA ; Takanori NAGASE ; Takefumi SUZUKI ; Kensuke NOMURA ; Hiroyoshi TAKEUCHI ; Shinichiro NAKAJIMA ; Hiroyuki UCHIDA ; Gohei YAGI ; Koichiro WATANABE ; Masaru MIMURA
Clinical Psychopharmacology and Neuroscience 2013;11(1):18-23
OBJECTIVE: The aim of this study was to explore the factor structure of a novel, 10-item rating scale, the Targeted Inventory on Problems in Schizophrenia (TIP-Sz). Determining the factor structure will be useful in the brief evaluation of medication and non-medication treatment of the disease. METHODS: An exploratory factor analysis was performed on TIP-Sz scores obtained from 100 patients who met the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for schizophrenia. RESULTS: The factor analysis extracted four factors that were deemed clinically pertinent, which we labeled: disorganization, social cooperativeness, functional capacity, and emotional state. The items exhibited cross-loadings on the first three factors (i.e., some items loaded on more than one factor). In particular, the 'behavioral dyscontrol and disorganization,' 'insight and reality testing,' and 'overall prognostic impression' items had comparable cross-loadings on all of the first three factors. The emotional state factor was distinct from the other factors in that the items loading on it did not cross-load on other factors. CONCLUSION: The TIP-Sz scale comprises factors that are associated with the psychosocial functioning and emotional state of patients, which are important outcome parameters for successful treatment of the disease.
Anomie
;
Diagnostic and Statistical Manual of Mental Disorders
;
Humans
;
Schizophrenia