1.Efficacy of a Novel Recording Method in Facilitating Rapid Documentation of Disaster Rehabilitation Support Activities
Akira MORIKAWA ; Masao TOMIOKA ; Ryuichi SAURA
The Japanese Journal of Rehabilitation Medicine 2024;():23050-
Objective:An efficient disaster relief service necessitates the documentation and dissemination of information acquired from disaster response-related activities. However, recording and summarizing information pertaining to rehabilitation support activities is time-consuming and a pressing concern;therefore, mark-sheet forms have been introduced to reduce the time required for this process. Therefore, this study aimed to examine whether mark-sheet forms can facilitate a more accurate and rapid recording of information than conventional descriptive recording forms.Methods:Fifty physical therapists affiliated with the Osaka Physical Therapists Association with no history of performing disaster rehabilitation support activities were recruited. Participants were randomized into descriptive recording form and mark-sheet form groups. Individuals in both groups were instructed to document the information gathered by watching simulated videos of the rehabilitation support activities on their designated recording forms. A statistical analysis compared the accuracy and time required to record the data obtained from the 10 simulation videos between groups.Results:In all 10 scenarios, the recording time was significantly shorter (p<0.05) for the mark-sheet form than descriptive recording form group. However, no discernible intergroup difference was observed in recorded content accuracy.Conclusion:The use of mark-sheet versus descriptive recording forms facilitated more rapid documentation of disaster rehabilitation support activities.
2.Efficacy of a Novel Recording Method in Facilitating Rapid Documentation of Disaster Rehabilitation Support Activities
Akira MORIKAWA ; Masao TOMIOKA ; Ryuichi SAURA
The Japanese Journal of Rehabilitation Medicine 2024;61(8):757-766
Objective:An efficient disaster relief service necessitates the documentation and dissemination of information acquired from disaster response-related activities. However, recording and summarizing information pertaining to rehabilitation support activities is time-consuming and a pressing concern;therefore, mark-sheet forms have been introduced to reduce the time required for this process. Therefore, this study aimed to examine whether mark-sheet forms can facilitate a more accurate and rapid recording of information than conventional descriptive recording forms.Methods:Fifty physical therapists affiliated with the Osaka Physical Therapists Association with no history of performing disaster rehabilitation support activities were recruited. Participants were randomized into descriptive recording form and mark-sheet form groups. Individuals in both groups were instructed to document the information gathered by watching simulated videos of the rehabilitation support activities on their designated recording forms. A statistical analysis compared the accuracy and time required to record the data obtained from the 10 simulation videos between groups.Results:In all 10 scenarios, the recording time was significantly shorter (p<0.05) for the mark-sheet form than descriptive recording form group. However, no discernible intergroup difference was observed in recorded content accuracy.Conclusion:The use of mark-sheet versus descriptive recording forms facilitated more rapid documentation of disaster rehabilitation support activities.
3.Accurate Determination of Childhood Food Allergy Prevalence and Correction of Unnecessary Avoidance.
Yuki OKADA ; Takumi YAMASHITA ; Hideki KUMAGAI ; Yoshihiko MORIKAWA ; Akira AKASAWA
Allergy, Asthma & Immunology Research 2017;9(4):322-328
PURPOSE: Because the true prevalence of food allergy (FA), as based on the results of an oral food challenge test (OFC), is unknown, it is likely that children with suspected FA unnecessarily eliminate potentially causative foods. This study aimed to identify the prevalence of FA and to determine the proportion of children who unnecessarily eliminate food. METHODS: To identify children with FA, a primary survey was conducted via a questionnaire with all children aged 0-18 years in Niijima village (remote islands of Japan). In the secondary survey, a detailed medical interview was conducted by doctors with children who currently did not eat some foods. The third survey involved serum food-specific immunoglobulin E (IgE) tests and an OFC for children with suspected FA. RESULTS: Of 376 enrolled children, 374 (99.5%) completed the questionnaire. Some foods were eliminated by 18.6% and 13.0% of all children and those ≥6 years old, respectively. The target population for the secondary survey included 69 children who all completed the medical interview. The target population for the third survey consisted of 35 children, of whom 26 (74.3%) underwent the blood test. An OFC was performed 35 times with 20 children. As a result, the prevalence of FA was 4.9% in children of all ages and 4.7% in those ≥6 years old. Moreover, 55.0% children were able to cease eliminating food intake. CONCLUSIONS: It is possible that a considerable number of children unnecessarily eliminate food because of suspected FA.
Child
;
Eating
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Epidemiology
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Food Hypersensitivity*
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Health Services Needs and Demand
;
Hematologic Tests
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Humans
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Immunoglobulin E
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Immunoglobulins
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Islands
;
Prevalence*
4.CURRENT STATUS OF RESPIRATORY DISEASES SUFFERED BY JAPANESE PEOPLE LIVING IN SOUTHEAST ASIA
AKIRA UCHIKOSHI ; ATSUO HAMADA ; EIICHI OKUZAWA ; KIYOMI HONDO ; NORIHIKO OOKUBO ; VARPHAN UNACHAK ; JACOB THOMAS ; TETSUYUKI MORIKAWA ; KOUICHIRO TAKEUCHI ; NORIHIKO BASUGI
Tropical Medicine and Health 2004;32(4):329-333
We gathered and analyzed date on respiratory diseases suffered by Japanese adults treated in Ram Hospital in Chiang Mai and Subang Jaya Medical Center in Kuala Lumpur. In both hospitals, the percentages of patients undergoing treatment for respiratory diseases was the greatest. Of these, relatively mild symptoms such as upper respiratory tract infection account for the majority of the diseases, but also included are instances of lower respiratory tract infection or chronic respiratory diseases such as chronic sinusitis and COPD⁄bronchial asthma. In Kuala Lumpur, we conducted a questionnaire-based survey targeted on Japanese people living there, in order to detemine the currnt status of respiratory deseases. The date showed that many Japanese had symptoms of respiratory diseases and felt that air pollution was serious.
It is important for Japanese people living in Asia to be aware of preventative measures to prevent respiratory diseases, such as those caused by air pollution and infection.
5.Review of Practices at the Pain Clinic of Osaka Medical University Department of Anesthesiology Over the Past 23 Years.
Sumie TOYOTA ; Cai Yuan WANG ; Tomoko SHINAGAWA ; Ikuo MATSUO ; Akira KAWACHI ; Toshikatsu KITADE ; Kazuhiro MORIKAWA ; Masayoshi HYODO
Journal of the Japan Society of Acupuncture and Moxibustion 1992;42(4):279-284
During the 23 years since this pain clinic was founded, 29, 458 patients have been treated here (about 385, 000 patient visits in total). In the earlier days, patients with whiplash injury (posttraumatic neck syndrome) were predominant. More males than females visited our clinic in those earlier days. Several years after this clinic opened, the percentage of female patients became higher (55% or more) than the percentage of male patients. Reflecting the social trend of an increase in the percentage of elderly people in the total population, the percentage of patients between 60 and 80 years of age has been increasing. Patients who visit this clinic live primarily in Osaka Prefecture. However, it is not uncommon that patients living in other prefectures of the Kinki district visit this clinic. Although patients visit our clinic because of various complaints, they often suffer from chronic, intractable complaints, such as low back pain, combined pain of the lower back and legs, and postherapuetic neuralgia. They often visit our clinic as a last resort for healing, after having consulted many other institutions. The duration of sickness among patients who visit our clinic is long (often over 5 years). Although the methods of treatment and the patients' responses vary, depending on their diseases, the combination of nerve block with acupuncture seems to be more effective on pain. We have utilized various techniques of acupuncture, including the in situ needle acupuncture, low-frequency therapy, SSP therapy, laser therapy and hyperthermia.
6.Twenty years of otsu medical stucents association since 1969.
Michiya Ohtaka ; Tsuyoshi Ikai ; Shinji Fushiki ; Kiyoaki Kitamura ; Yasuyuki Tatsugami ; Junichiro Morikawa ; Yoshio Nakamura ; Takeshi Aoyama ; Tetsuya Yoshikawa ; Akira Matsuda ; Yoshifumi Yokota ; Takuzo Nambu ; Takeshi Moridera ; Nobuki Yamaoka ; Hiroyuki Naito ; Fumikazu Ikeda ; Hiroyuki Furukawa ; Hiroshi Yakushigawa ; Hiroshi Fujimoto ; Kishiko Hayashi ; Tsuyoshi Ohtaka ; Noboru Takano ; Yoshie Ibuki ; Tsutomu Yamanaka ; Akira Matsuda
Medical Education 1991;22(2):115-120
7.The Progress in Acupuncture and Moxibustion Apparatus. A Study on cases with shoulder stiffness.
Kazuhiro MORIKAWA ; Sumie TOYOTA ; Akira KAWACHI ; Masayoshi HYODO
Journal of the Japan Society of Acupuncture and Moxibustion 1991;41(3):295-302
In the present paper, we examined differences in therapeutic effectivenesses of venous methods of acupuncture, ranging from filiform needle to EAP, LFEA, laser and SSP, in cases with shoulder stiffness. The immediate and delayed effect of each method, comfortableness during treatment session, changes in temperature, blood flow, and the oxygen density at the Jianjing and Hegu point were examined.
Significant improvement was seen in every therapeutic method. Electrical acupuncture using direct current was most effective. No difference were evident among SSP, low-frequencey electro-acupuncture and filiform needle. There was a correlation between confortableness and the improvement rate in electrical acupuncture using direct current and laser acupuncture. Deep temperature, blood flow and the degree of oxygen saturation of the stimulated part tended to increasd in each case.
8.Study of oversensitivity to cold according to ryodoraku autonomic nervous system therapy(neurometry).
Kazuhiro MORIKAWA ; Sumie TOYOTA ; Akira KAWACHI ; Toshikatsu KITADE ; Kiyoko HIRAI ; Masayoshi HYODO ; Masazumi KAWAMOTO ; Mamoru TANAKA
Journal of the Japan Society of Acupuncture and Moxibustion 1987;37(4):291-299
It is presumed that oversensitivity to cold is derived from the imbalance of the autonomic nervous system. As a result of the cold condition, the patient may complain of various other problems as well. According to oriental medicine, the main origin of oversensitivity to cold is the invasion of cold, an external evil. In neurometry, this symptom is depicted by low measurement values. Before each treatment session we performed neurometry to assess the patient's condition. Then we performed general Ryodoraku regulation therapy, using a 60mm length, 0.24mm diameter needle as a 200μA (12V) negative electrode for 7 seconds. withI the objective of tonifying and warming the body. In addition, we performed half-rice grain size moxibustion 7 flashing moxas on the special effective extraordinary meridian points. Hanfeng, Lisanli, and main meridian points Fengmen, Zhishi. Neurometry revealed that oversensitivity to cold is related to values of the F, Ryodoraku which are lower than the normal physiological range. The treatment indicated by neurometry proved to be successful in increasing the F, Ryodoraku values.
9.The analgesic effect of laser-puncture on painful diseases.
Sumie TOYOTA ; Akira KAWACHI ; Masao MATSUO ; Tetsuya KIMURA ; Masaru NITTA ; Yukio SAKO ; Tomoko SHINAGAWA ; Masae TANAKA ; Kazuhiro MORIKAWA ; Sawako HASHIMOTO ; Toshikatsu KITADE ; Mitsuru NAKAMURA ; Tatsuzo NAKAMURA ; Fuminori ANDO ; Takao SAKAI ; Sakiko KITANI ; Toyohiko INOUE ; Masayoshi HYODO
Journal of the Japan Society of Acupuncture and Moxibustion 1986;36(1):42-47
A statistical study on effects of laser-puncture was carried out. In addition, an attempt was made to compare between the effect of acupuncture and this method. The treatments were under-taken for various chronic and acute cases with pain. In the laser-puncture treatment, two types of laser (i, e. low energy 10mW laser and 70mW sharp laser) were used. Laser-beam was given to 20-30 points which were located in painful areas, innervating nerve areas and remote areas for 40 sec for each.
In the open study, 10mW laser-puncture was effective (including ‘rather effective’) in 64% of the cases, and 70mW laser-puncture 73%. In the blind test, ‘the day’ evaluation showed that the laser-punctures were more effective than placebo treatment: 10mW laser-puncture was effective in 80% of the cases, and placebo in 67%. 70mW laser-puncture was effective in 87% of them, and placebo in 80%. In situ acupuncture was effective in 97%, and no effect was seen in 7%.
Only ‘the day’ evaluation in the open study showed that 70mW laser-puncture was more effective than 10mW one. In the blind best, 10mW and 70mW laser-puncture were more effective than placebo, and in situ acupuncture was more effective than the laser-punctures, but there were no significant differences among the three treatmets.


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