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Biomedical subjects

Y Ikemi

Publications and source records attributed to Y Ikemi.

At least 37 records · Page 2Linked to original sources

[A simple method for monitoring ozone exposure (author's transl)].

A simple passive type sampling device has been developed for personal monitoring of ozone exposure in the workshop of welding. Atmospheric ozone is collected on a filter paper soaked in 1,2-di-(4-pyridyl)-ethylene. Pyridine-4-aldehyde is produced by the ozonolysis reaction. Analysis of the results showed the time-weighted (TWA) exposure concentration of ozone. The relationship showed a good linearity between the pyridine-4-aldehyde produced and the ozone concentration. Coefficient of variation of the data of measurement after exposure was less than 10%. and the range of the data was from 0.05 to above 1.42 ppm hr. Promising results have been obtained in the data of controlled exposures to nitrogen dioxide, and excellent stability for delayed analysis after sampling. According to these results, we believe that the simple sampling device can be used for the evaluation of personal exposure dose for ozone.

Air Pollutants↗

Asthma: The yoga perspective. Part I. The somatopsychic imbalance in asthma: towards a holistic therapy.

While the standard physiological and even certain psychological characteristics of asthmatic patients are well known, the current diagnostic and therapeutic approach to asthma remains inadequate, as it neglects certain interrelated somatopsychic factors vital to an optimal diagnostic-therapeutic programme. These include the role of skeletal muscle tension and posture, the role of the 'voluntary' respiratory musculature, especially the diaphragm, as well as anxiety, emotional suppression and excessive self-consciousness, all of which may be precipitants rather than the outcome of the onset of asthma. On the basis of these neglected factors and others, implications for an optimally effective therapy are discussed. The physical medicine or physiotherapeutic, as well as other recent therapeutic approaches, are reviewed and evaluated. It is concluded that all of these therapies are too "specific," and that a more holistic approach is necessary (which is provided in 'Asthma: The Yoga Perspective,' Part II-"Yoga Therapy in the Treatment of Asthma").

Asthma↗

Teaching psychosomatic approaches as a basis of clinical medicine.

We have introduced our idea of psychosomatic approach as a basis of clinical medicine and the present state of psychosomatic teaching and training in our department as well as in other university hospitals in Japan. In teaching and training medical students and postgraduates, we aim at producing psychosomatically minded clinical physicians. For this purpose, multidisciplinary and teamwork approaches in cooperation with paramedicals are needed.

Education, Medical, Graduate↗

Psychosomatic studies of allergic disorders.

It is generally conceded that allergic disorders occur in individuals who have a hereditary or congenital allergic constitution. Clinical symptoms of allergic disorders, however, often disappear due to changes of the individuals' life situations and/or their adaptive patterns. In a comparative study of allergic predisposition in students with allergic disorder (asthmatics) and students who had become completely free from childhood asthma for more than 3 years, without specific treatment, there was no significant difference in allergic predisposition between the two groups. The same tendency was also found between adult patients with allergic disorder (asthmatics) and persons who had shown complete remission for more than 3 years, having had psychosomatic treatment. These findings suggest that allergic predisposition does not influence the prognosis of allergic disorders as much as do socio-psychological factors. It is thought that the effect of psychosomatic treatment reconditions these socio-psychological factors which disturb homeostatic balance and which facilitate the clinical manifestation based on the allergic predisposition.

Adult↗

Alexithymic features of the patients with chronic pancreatitis.

61 patients suffering from chronic pancreatitis were studied in order to clarify the psychosomatic aspects of this disease. They were classified into 5 types, out of which 3 types were examined in detail according to their personality traits and life habits. It was found that the mind-body relationship took the primary form in the psychosomatic and neurotic types, while in the organic type it took the secondary form such as distorted life habits. This finding indicated that the distortion in the personality structure and that of life habits were closely interrelated. The authors also discussed the clinical features of chronic pancreatitis from the standpoint of alexithymia. The patients with the organic type were most alexithymic, which were followed by the psychosomatic type. It was learned that alexithymic problems were reflected in the patients' life habits.

Alcohol Drinking↗

Integration of occidental and oriental psychosomatic treatments.

The Oriental approach to life can contribute to the development of psychosomatic medicine in three major ways, revolving around its realization of the illusion of mind-body dualism, its development of practical somatopsychic techniques for learning self-control, and its orientation towards realizing our true nature. In our department we are currently exploring the use of both standard psychosomatic as well as a variety of somatopsychic techniques, with the ultimate goal of providing a meaningful integration of these approaches. While working to realize the integration of these varied approaches, we feel we are discovering some important clinical principles.

Body Image↗

Alexithymic feature in digestive diseases.

A comparative study was conducted on the psychological features of chronic pancreatitis, peptic ulcer, ulcerative colitis and the irritable colon syndrome by means of psychological tests and interviews. The patients with irritable colon syndrome were found to be the most neurotic of all, whereas those with the definite type of chronic pancreatitis and ulcerative colitis presented prominent alexithymic characteristics. About one half of the patients having peptic ulcer showed alexithymic features. Despite their neurotic tendencies shown on the psychological tests, the patients with the suspicious type of chronic pancreatitis were socially better adjusted than those with irritable colon syndrome. It was also noted that the concept of alexithymia needs to be elucidated by including such factors as over-adaptation to the environment, certain distorted life habits and lack of bodily sensations.

Adult↗

'Positive and 'negative' aspects of the 'altered states of consciousness' induced by autogenic training, Zen and yoga.

As practices of altered states of consciousness (ASC) have become more widely used among psychotherapists who have become aware of the limitations of psychoanalytic, educational and behavioral approaches, negative aspects ('Makyo') of ASC have drawn their special attention. For the purpose of controlling or preventing these side-effects, (1) the problem of indication is most important, (2) and evaluation of the patient's personality is indispensable, (3) preparatory education about ASC methods and (4) guidance by experienced leaders are most helpful, (5) appropriate use of tranquilizers and (6) the mere presence of a supportive therapist at the place of practice can also be helpful.

Autogenic Training↗

Responses to TRH and T3 suppression tests in euthyroid subjects with a family history of Graves' disease.

The relationship of Graves' disease and heredity was studied in 97 clinically and biochemically euthyroid relatives (resin T3 uptake and serum T3, T4, and TSH within normal ranges) who had more than two thyrotoxic relatives within the second degree relationship. TRH tests were preformed in all 97 cases. In 56 of the 97, T3 suppression tests were performed shortly after the TRH test. Results revealed that 29 of the 97 (29.9%) showed an abnormal response to TRH. fourteen of these (14.4%) revealed no response or a hyporesponse, and 15 (15.5%) revealed a hyperresponse to TRH. Four of 56 (7.1%) were T3 nonsuppressible. Seven individuals who showed no response or a hyporesponse to TRH consisted of 2 nonsuppressible and 5 suppressible subjects. In 14 non- or hyporesponsive cases, serum T3 (1.51 +/- 0.05 ng/ml; mean +/- SE) and T4 (9.91 +/- 0.31 micrograms/dl) were significantly higher compared with those of normal responders (1.30 +/- 0.04 ng/ml, 8.57 +/- 0.21 micrograms/dl; P less than 0.001) or hyperresponders (1.16 +/- 0.06 ng/ml, 7.77 +/- 0.63 micrograms/dl; P less than 0.01). There was no correlation between TRH responsiveness and T3 suppressibility. A relatively high occurrence of thyroglobulin and microsomal antibodies was observed, further suggesting a hereditary predisposition. The findings indicate that even in euthyroid relatives with a family history of Graves' disease who have no clinical or biochemical abnormalities of thyroid dysfunction, many have abnormalities in TRH responsiveness, T3 suppressibility, and thyroidal antibodies.

Adolescent↗

Fine body movement during autogenic training. Longitudinal and short-term changes.

A sensitive electronic device (static sensograph) was used to record fine body movement in two similar groups of normal high school girls at intervals over a few months. One group received weekly instructions in the technique of autogenic training (AT) and was urged to practice it daily, whereas the other (control group) received no such instrutions. In the AT group mean body movement (eyes closed, sitting position) decreased with every session. At 3 and 4.5 months after training was begun (session 3 and 4, respectively) mean body movement of this group was significantly lower than in the first session, before training was begun. In the fourth (but not earlier) sessions the AT group also showed a significant decrease in mean body movement during AT compared with the periods immediately preceding and following it. In contrast, the control gorup showed no significant differences in means between any sessions or periods within a session. The results suggest that fine body movement as measured by a static sensograph is a useful parameter for studying AT and probably other relaxation procedures.

Adolescent↗

A comparative study on somatic treatment and comprehensive treatment of bronchial asthma.

Asthmatic patients who were treated at our hospital for at least 3 months and for whom a follow-up was conducted were divided into 2 groups according to their attitudes toward psychotherapy: Group I who accepted psychotherapy and Group II who did not accept it as part of our comprehensive approach. We examined the differences in therapeutic results in these two groups obtaining the following information: (1) No significant differences was found between Groups I and II as to the onset age, family history, type, severity, laboratory findings, etc. (2) In Group I, no significant difference was found in therapeutic results as to the onset age, type of asthma, its severity, etc. (3) In Group II, a significant difference was observed in the therapeutic results as to the onset age, type of asthma and its severity. These findings were almost identical to the literature of the internal medicine field. (4) The difference in therapeutic results of Groups I and II was assumed to be related to the use of psychotherapy when psychological factors were present. (5) Although psychotherapy was shown to be effective in the treatment of bronchial asthma, we need to be aware that there is often initial resistance to the process and a tendency for patients to terminate prematurely.

Adolescent↗