1) Of 3887 patients hospitalized in our surgical clinic during about 20 years from 1946 to 1966, 43% were patients with abdominal surgery, 20% with neuralgia or rheumatoid arthritis, 9.8% with injuries of four extremities, 9.6% with malignant diseases, and 5.8% with postoperative disturbances.
2) It was concluded by our clinical investigations and laboratory findings that postoperative early ambulation (walk from 3rd. postoperative day) with early thermal bathing (40-42°C, 5 minutes bath from 7th postoperative day) in about 520 patients with gastrectomy or cholecystectomy promoted their postoperative recovery. But it was noted that postoperative recovery with malignant was not always promoted by early ambulation with early bathing and so care must be taken of such postoperative patient.
3) Recently patients with postoperative disturbances have been gradually increasing in our clinic. Of 99 patients with postlaparotomy disorders, 78 of them were postoperative intestinal adhesion. 38 of which were not re-operated and were treated by hydrotherapy that diminished their complaints from 100% to 37.7% after average 48 day therapy.
4) 328 patients with lumbago and sciatica were treated combined with balneotherapy. Of 28 patients with lumbal disc hernia, 53.6%, healed, 46.4% were markedly improved after two month therapy. But, of 21 patients with postlaminectomy or postmyelogram disturbances, only 23.8% healed, 57.1% were improved and 19% were unchanged after two month therapy.
5) 380 patients with rheumatoid arthritis were treated by balneotherapy combined with intraarticular corticosteroid injection. When local improvement by these treatments was little, these patients were treated by means of such procedures as intraarticular pumping and washing, curettage of synovial membrane and fenesteration or partial synovectomy. Balneotherapy markedly improved operated joint function. R. A. patients were permitted to take thermal bathing 6-12 hours after intraarticular corticosteroid injection and there were no articular infection by bathing.

It is said that medical care is a social application of medicine to the benefit of community or individual. In step with progress in medicine, medical care has been made all the more complicated. Moreover, the system supporting medical care has fallen behind the times when its surroundings have been changing drastically. This situation could be ascribed to the institutional fatigue that the system itself is suffering from after a long period of existence. It also can be pointed out that there have been revolutionary changes in traditional Japanese cultural values together with the awareness of people concering health. However, the primary factor that lies behind need of reform is financial difficulties. At present, in connection with deregulation of medical care, the introduction of mixed medical care and the entry of joint-stock corporations are taken up for discussion as topics of the day. In the meantime heated debates are being held over the subjects of institutional reform including the setting up of medical care for the aged as part of the fee-for-service system and reconstruction of the network of providers of health care and services. Moreover, the institutions that are engaged in the practice of medicine are expected to tackle a broad range of tasks- -catching up with ever-progressing information technology, disclosure of information, and strengthening of safety measures against medical accients, among many others. However, these are not the issues which have cropped up in recent years. Many have been brought up and discussed from an angle a little different from what it is today. It is now high time for us to discuss these issues through and through in light of actual situations while looking back on the history of medical care and its system. In this paper the author shall dwell on the development of the nation's medical system and point out some problems confronting us today with the use of some materials thus far presented by the Japan Medical Association. His view is based on his personal experience in hospital management and with the Japan Medical Association.
medical care ; Medical ; Medicine ; g <3> ; seconds

[ Objective] To analyze the clinical results of scoliosis patients treated by anterior correction surgery using the KASS (Kaneda Anterior Scoliosis System: the dual rod system). [ Method] Total 123 idiopathic scoliosis patients were treated. The patients' curve patterns by King classification were as follows:Thoracic scoliosis [ type Ⅱ (n = 13), Ⅲ (n = 18 ) , and Ⅳ (n = 16) ,total (n =47) and thoracolumbar or lumbar (TL/L) curve (n = 76)]. In all patients, anterior correction surgery within the range of the major curve was performed. The average follow-up period was 7 years 7 months (2 ～ 13 years 6 months).[ Result] Fusion was attained in all patients. Correction rates of the major curve scoliosis were 68% in thoracic scoliosis and 81%in TL/L scoliosis. In sagittal alignment, all patients restored nearly physiologic thoracic kyphosis and lumbar lordosis. Correction rates of horizontal tilt of the lowermost end vertebra were 78% in thoracic scoliosis and 83% in TL/L scoliosis. Correction rates of the apical vertebral rotation were 59% in thoracic scoliosis and 70% in TL/L scoliosis. No neurovascular and implant related complications were observed. [ Conclusion ] KASS allows excellent 3-D correction of the scoliosis and rigid enough stability to maintain the correction with a shorter fusion.

Background : A system for measuring electrical resistance along meridian routes, using a built-in, standardized electrode mechanism with fixed-load, 10 mA (JIS allowance value) current generating IC circuit was newly devised, and the route impedance of 12 meridians (Rm kΩ) were obtained at each source acupoint in situ. These values were clinically investigated in 259 ambulant patients with a background of eastern sho (symptoms), and statistical analysis.Measurement and Result:Rm ranged from 156 to 1520 kΩ in 6 6males (age : 3 ∼ 48 years) and 99 females (age : 10 ∼ 87 years).1) Rm over 300 kΩ, denoted as qi deficiency, was recognized in the LR, GB, ST, SP, HT, BL and KI meridians of the males, and additionally in the SI meridians of the females older than 50 years, and only in the GB meridians of those younger than 50 years.2) A positive correlation with age was only recognized in the Lu, L1and S1meridian flow of those younger than 50 years in the male patient group, while in females younger than 50 years, this correlation was recognized in ST, SP, HT and BL meridians, while in those over 50 years, it was only recognized in ST meridians.3) Among the 54 cases of qi deficiency, a positive correlation between age and Rm was recognized only in 10 meridians of the females and in 52 “blood-emptiness” cases, 4 meridians of the males, and 2 meridians of the females and in 51 cases of “blood stasis” group, 8 meridians of the males and 2 meridians of the females.Conclusion : The Rm values found with the newly-devised meridian route impedance measurement system were significant in an eastern medicine way with qi rather, than “Blood” in sho pathogenesis.
Measurement ; Age, NOS ; Lower case kay ; Electrodes ; Devices