In order to investigate the association of alpha-blocking with motor set under the condition of simple reaction movement, the scalp distribution of alpha wave envelope recorded by averaging method was compared with that of slow potential changes. The results were as follows.
1) The slow potential changes (readiness potential, early and late component of CNV) were large over the central and frontal area. The readiness potential was larger over the contralateral than the ipsilateral central motor area, while the early component of CNV showed bilateral spread. The late component of CNV showed the similar scalp distribution to that of readiness potential, but the latter was much more lateralized.
2) The alpha-blocking was bilaterally symmetrical over the central and occipital area under the condition of photic stimulus without movement. But the alpha-blocking accompanying preparatory signal increased over the frontal and central area compared with control alpha-blocking, and was larger over the contralateral than ipsilateral central motor area.
3) The maximal alpha-blocking rate showed to correlate negatively with its latency under each condition. The difference in alpha-blocking rate at the onset of the imperative stimulus between reaction movement and control showed to correlate negatively with reaction time.
From these findings, it seems that alpha-blocking accompanying preparatory signal reflects not only input system but also readiness potential component, and that in temporal respect alpha-blocking increases at the onset of movement.

The purpose of the present experiment is to identify, in detail, results of the preceding experiment of authors that the amplitude of N₁ potential was dominant over motor cortex area contralateral to moving limb, with bipolar lead and is to investigate negative potential appearing the scalp preceding voluntary movement depends on a precaution stimulus or on readiness of movement execution only.
In addition to, discussing' the difference of CNV (Contingent Negative Variation) and N₁ potential is, also, the purpose of the present experiment.
The present experiment gave the following results.
1. The results obtained with monopolar lead were that the amplitude of N₁ potential was maximal at lead placement Cz in all movement.
2. The results obtained with bipolar lead were that the amplitude of N₁ potential showed, relatively, lower tendency in the combination within central area and showed, relatively, higher tendency in the combination of other lead placement to central area.
3. Judging from all the scalp, the amplitude of N₁ potential showed high tendency at central area.
4. In particular, clear difference was identified between the latency of CNV and that of N₁ potential.
5. As showing much the same amplitude except for lead placement Cz, CNV extended from central area over the scalp.

Objective : Carvedilol is a non-selective β blocker with an α blocking activity. Since this drug is highly fat-soluble, it can pass through the blood-brain barrier, and thus may induce depression and lower QOL. In the present study, physicians and pharmacists collaborated to evaluate the antihypertension effect of carvedilol and post-administration changes in QOL. Furthermore, the relationship between QOL and antihypertension effect was analyzed.
Design : Self-controlled study.
Patients and Methods : Subjects were outpatients with hypertension above the age of 70 years who visited one of 42 medical institutions in Japan between April 1995 and March 1996. A total of 243 patients were registered, and 10-20 mg of carvedilol was administered once a day for six months. Pharmacists assessed the QOL of these patients by asking 82 questions on three separate occasions : before administration and one and six months after administration. The antihypertensive effect of this drug was investigated in patients in whom all three QOL questionnaires were collected. The main test items were antihypertensive effect, changes in QOL (subjective QOL with a special emphasis on patient psychology), and the relationship between antihypertensive effect and QOL. The antihypertensive effect of this drug was statistically analyzed by a paired t-test, and changes in QOL were statistically analyzed using generalized estimating equations.
Results : All three QOL questionnaires were collected from a total of 146 patients. Their pre-administration systolic blood pressure was 159.6±1.4 mmHg, and diastolic blood pressure 94.0±0.9 mmHg, and their blood pressure decreased significantly one month after the start of administration. This antihypertensive effect of carvedilol persisted, and the systolic and diastolic blood pressure of these patients six months after the start of administration was 141.1±1.2 and 85.2±0.7 mmHg, respectively (significant decreases when compared to pre-administration levels ; both p<0.05).
Subjective QOL improved significantly after carvedilol administration. And, changes were not seen in sexual function. Changes in the five categories of subjective QOL were as follows : psychological stability, disease-induced inconvenience, and independence improved significantly after carvedilol administration, but changes were not seen in gratification or vitality. However, improvements in subjective QOL did not correlate with improvements in blood pressure.
Conclusions : The results of the present study showed that carvedilol improved QOL without negatively affecting sexual function. Subjective QOL reflects the psychological well-being of patients. In the present study, psychological stability, disease-induced inconvenience, and independence improved significantly, but changes were not seen in gratification or vitality. Since β blockers can suppress the central nervous system, they can reduce psychological stability, gratification and vitality. Even though carvedilol is highly fat-soluble, the results of non-clinical studies have shown that it does not suppress the central nervous system as much as propranolol. The results of the present study showed that carvedilol does not strongly suppress the central nervous system of humans. Moreover, significant changes in QOL were not seen between one and six months after the start of administration of carvedilol, suggesting that it is possible to estimate the QOL of patients on antihypertensive therapy after six months of administration by assessing their QOL one month after administration.

The importance of promoting self-medication is increasing, and the active participation of pharmacies is required to support this. We developed a training program based on the Attention, Relevance, Confidence, and Satisfaction (ARCS) model, which is a motivational design process to train pharmacists who support the proper use of OTC drugs, and for insurance pharmacists who usually perform dispensing work. In the six months of training, we conducted six sessions for insurance pharmacists on the subject of colds and constipation. In addition to conducting lectures and exercises on OTC drugs, we provided pharmacists with an opportunity to practice the training content during their daily work, and discuss solutions to the problems that they encountered. Of the eight participants who attended all workshops and were part of the final evaluation, seven provided OTC drugs after considering whether it was necessary to provide them. A total of six advised patients who came to the pharmacy to have their prescription medications dispensed that there were OTC medications that they should be careful about taking. These results suggest the usefulness of this training program based on the ARCS motivational design model.