ABSTRACT
[Background] Presenteeism, defined as the practice of sick workers who come to work, and whose work performance effectiveness has been reduced due to various signs and symptoms, causes a significant financial loss to companies. However, comprehensive and effective occupational health countermeasures have not yet been presented. Therefore, we report here the results of an interim analysis to determine whether an allowance for acupuncture treatment is beneficial for workers' presenteeism. [Methods] A four-week randomized intergroup comparative study was conducted on office workers who were aware of their presenteeism. Participants were allocated to either the control group, in which regular recommended presenteeism countermeasures for each workplace were implemented arbitrarily, or to the intervention group in which an allowance of up to 8,000 was given for acupuncture treatment, in addition to the usual arbitrary measures. The primary endpoint was the WHO-HPQ relative presenteeism score: a score lower than 1 indicates lower work performance; and it was analyzed with the "full analysis set" population.[Results] A total of 52 patients were assigned to the intervention group (n = 30) and the control group (n = 22). On average, the intervention group received acupuncture treatments 1.4 times for stiff neck and shoulders (67%), lower back pain (26%), depression (5%), and allergies (2%), and paid a total of 7,219; and 6,556 was paid as an expense allowance. As a result, the relative presenteeism score was 0.95 in the intervention group, compared to 0.91 in the control group, with a between-group difference of 0.04 (ES (r) = 0.22, P = 0.12).[Conclusions] With a total of up to 8,000 offered to office workers who were aware of their presenteeism, an acupuncture treatment allowance for a four-week period was provided 1.4 times on average. The results suggested that the treatment allowance would increase workers' performance efficiency by about 4% (equivalent to 19,691 per person) compared to those without it.
ABSTRACT
<b>Introduction</b> : We investigated the effects of skin stimulation with noninvasive microcones on constipation in university students. <br><b>Methods</b> : 17 university students with constipation were studied. Students were randomly assigned to either Group S (n=9) that received skin stimulation of the auricle using microcones, or Group P (n=8) that were given placebo treatment. Both groups received 4 weeks of treatment.<br><b>Results</b> : There were no significant differences in the mean baseline CAS-J (Japanese Version of Constipation Assessment Scale) values between the two groups. After 4 weeks, subjects in Group S had significantly lower CAS-J values compared with baseline (P=0.02). No significant changes were noted in the values for Group P.<br><b>Conclusion</b> : These results suggested that skin stimulation with noninvasive microcones improved constipation in university students, and may be a viable option for self-care of this condition.
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[Objective] We examined whether the meridian test is useful for diagnosis and assessment, other than treatment. <BR>[Method] Participants were patients and therapists in acupuncture and moxibustion facilities. We gave them the meridian test before and after treatment, and carried out the questionnaire survey for the test time, impressions and others.<BR>[Results and Discussion] The time of the meridian test was suitable for the patients and therapists. This test detected unconscious disorders in locomotive organs. It also clarified unconscious therapeutic effects. Furthermore, we obtained affirmative answers on the test from patients and therapists. From these results, it was suggested that the meridian test is a useful method in addition to treatment.
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[Objective] The understanding and cooperation of dialysis medical staff are indispensable for the widespread introduction of acupuncture treatment in maintenance dialysis medical treatment. In this study, we tried to clarify the level of understanding of acupuncture of dialysis medical staff We also tried to examine change in their opinion of acupuncture after experiencing it. We discussed the possibility of using acupuncture treatment in maintenance dialysis medical treatment.<BR>[Method] At first, we distributed the questionnaire concerning the level of understanding of the acupuncture of dialysis medical staff (n=105) who visited the experience corner. Next, we investigated whether the staff who had experienced acupuncture treatment changed their opinion of it. We also investigated the method and effect of acupuncture.<BR>[Results & Conclusion] Few staff had experienced acupuncture previously. They had fears regarding acu- puncture regardless of their experiences, but these fears were alleviated after acupuncture experience. From these results, it is believed that dialysis staff have an insufficient understanding acupuncture. On the other hand, we considered the possibility that acupuncture could positively contribute to dialysis medical treatment because many staff approved the safety and hygiene levels of acupuncture. It will be necessary to educate staff concerning the effect of acupuncture on maintenance dialysis patients in order that they may be able to effec- tively administer acupuncture in the future.
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Nobody studies economic evaluation of acupuncture and moxibustion in Japan. To establish a method of economic evaluation of acupuncture and moxibustion, we introduced case study of economic evaluation of acupuncture and moxibustion at work. In addition, we examined a course of study that annex economic evaluation to a study of acupuncture and moxibustion. This manuscript introduces two case studies of economic evaluation and essential points of economic evaluation.
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Objective : To research reports of economic analysis of acupuncture therapy.<BR>Method : Searches were performed in Medline for reports of cost description, economic, randomized controlled trial, cost effectiveness, or cost benefit. Studies were included if they reported original data from any form of standard economic analysis.<BR>Results : A total of 15 papers was found. These studies were investigated as follows : angina pectoris, carpal tunnel syndrome, stroke, knee osteoarthrosis, low back pain, musculoskeletal disease, migraine, acupuncture analgesia. On the other hand, only one paper was found in Japan.<BR>Conclusion : Almost studies were noncntrolled trial, non-rigorous and retrospective studies. In future there is a need for high quality and rigorous studies of the cost and benefits of acupuncture.
ABSTRACT
We employed the Meridian Test to study the effects of acupuncture on m otor organ diseases and medical expenses of workers in a company, where health promotion is a priority. Our two-month trial was done at one factory which employs mainly physical labor workers. Acupuncture treatments were given for pain in the neckshoulder, knee and lumbar regions. After 8 weeks of our treatment, 83% of neck-shoulder pain cases, 77% of lumbar pain cases, and 88% of knee pain cases reported that their pain was reduced more than 50%. The results of a mental test (POMS test) showed a significant decrease in tension, depression, anger, fatigue and mental confusion. In terms of acupuncture treatment, numbers of visits to conventional hospitals were significantly decreased and average medical expenses were reduced to about 30%. These reductions continued for the next 3 months. Acupuncture treatment using the Meridian Test could benefit corporations where health promotion of workers is an urgent priority.