Redução do uso de medicação em praticantes de meditação transcendental

By providing relaxation of body and mind, the regular practice of Transcendental Meditation (TM) can reduce the use of drugs. The aim of this study was to evaluate the reduction of medication use in regular Sidhi Transcendental Meditation (TM) in the city of Maringá, northwestern Paraná. At the of, a structured questionnaire was answered by 46 Shida meditators from a university extension project developed at the State University of Maringá, main campus. It was observed that by learning to meditate, 23.9% of the interviewees stopped using drugs, mainly psychotropic drugs; 21.7% decreased the dosage of analgesics and/or anti-inflammatory drugs, and 6.5% incited the pharmacological treatment of chronic underlying diseases. Of the total respondents, 60.9% reported having self-medicated during their lives, and 17.4% of the possible pharmacological combinations presented the possibility of drug interaction, mainly between psychotropic and/or analgesic drugs with themselves or with other drugs. Psychic, physiological, social and environmental factors can influence the development and treatment of pathologies. It is concluded that by reducing the use of drugs and possible drug interactions, TM is a possible alternative to complement the treatment of diseases related mainly to the central nervous system and avoid the indiscriminate use of over-the-counter drugs.Ao proporcionar o relaxamento do corpo e da mente, a prática regular de Meditação Transcendental (MT) pode reduzir o uso de fármacos. O objetivo do trabalho foi avaliar a redução do uso de medicação em praticantes regulares de Meditação Transcendental Sidhi, na cidade de Maringá, noroeste do Paraná. No final de 2021, um questionário estruturado foi respondido por 46 meditantes Shida de um projeto de extensão universitária desenvolvido na Universidade Estadual de Maringá, campus sede. Observou-se que ao aprender a meditar, 23,9% dos entrevistados deixaram de utilizar fármacos, principalmente psicotrópicos; 21,7% diminuíram a dosagem de analgésicos e/ou anti-inflamatórios e 6,5% incitaram o tratamento farmacológico de doenças crônicas de base. Do total dos respondentes, 60,9% relataram terem se automedicado durante as suas vidas, e 17,4% das possíveis combinações farmacológicas apresentavam a possibilidade de interação medicamentosa, principalmente entre os psicotrópicos e/ou analgésicos com eles mesmos ou com outros fármacos. Fatores psíquicos, fisiológicos, sociais e ambientais podem influenciar o desenvolvimento e tratamento das patologias. Conclui-se que ao reduzir o uso de fármacos e possíveis interações medicamentosas, a MT é uma possível alternativa para complementar o tratamento de doenças relacionadas principalmente ao sistema nervoso central e evitar o uso indiscriminado de fármacos de venda livre

東日本大震災被災地仮設住宅における音楽セッションの提供

実践報告Practical reports　東日本大震災に伴う津波により被災した岩手県T 村S 地区の仮設団地で，筆者らは震災一年後に「意味のある作業開発」を目的に活動を開始した．本稿は，その内の第4 回目の訪問時（2013年3 月）に行った音楽を中心とした文化的活動（以下，音楽セッションとする）の報告である．「ふる里」をテーマとし，参加者と筆者らが住む地域の共通する話題に沿って音楽セッションを行った結果，親和的な双方向のコミュニケーションが展開したので，その経過と結果及びアンケート結果について報告する．The project aiming at the development of meaningful activities began one year after the Great East Japan Earthquake in the temporary housing complex in the Iwate Prefecture, where survivors of the tsunami disaster have been staying. This article is a report of the activity whichwas undertaken at the fourth stage （March, 2013） of the project. The theme was set as “myhometown” and cultural activities which focused on music were performed in accordance withtopics common to the local community and that of the authors. As a result, a friendly nteractivecommunication developed. The process and the results of the sessions are introduced in thearticle

東日本大震災被災地における意味ある作業の開発：岩手県Ｔ村T 仮設団地S 地区女性部メンバーを対象としたアクションリサーチ

実践報告Practical reports　2011 年3 月の東日本大震災によって岩手県沿岸部の漁村，S 地区は壊滅的な被害を受けた．Ｔ仮設団地に暮らすＳ地区女性部メンバーを対象に「研究者と対象者が共同して望ましい作業を展開する」アクションリサーチを行った．2012 年7 月から2013 年8 月まで6 回訪問し，参加者は14 ～ 20 名であった．プログラムは，各種物作りと話合い・歌などで構成し，参加者のフィードバックをもとに新たな作業を展開した．これまでに行った作業は，物作りでは，生キャラメル，布草履，ケーキ，クッキー，アンデルセン，おでん，樹脂粘土のアクセサリーであり，そのほかに，KJ 法による話合い，ハープと歌，歌の集い，ワールドカフェなどを行った．2013 年度になって始めたアクセサリー作りは参加者の気持ちを捉え，また，販売と収益に結び付くものになりつつある．A village located in a seaside area of the Iwate Prefecture was tremendously damaged by thetsunami of the Great East Japan Earthquake in March, 2011. The purpose of this project was to provide meaningful occupations for the residents of temporary housing. Between forteen to twenty menbers of district S, living in temporary housing, participated in this project. The occupations provided were decided each time according to the results of interviews or questionnaires. Occupations provided were as follows: 1. September 16, 17, 2012 : Making of soft caramel （Nama-caramel）. Discussion and conclusions using the KJ method. Making of fabric sandals.（ 18 participants） 2. November 11, 2012 : Providing “Feel Easy” time: tea time, songs with a harp accompanimen（t 19 participants） 3. March 23, 24, 2013 : Baking of cakes and cookies, making Andersen bracelets, preparing the Shizuoka hot pot stew, and sing song.（ 18 participants） 4. July 14, 15, & Aug. 20, 21, 2013 : Making necklaces & bracelets with Polymer clay.（ 16 & 21 participants respectively） This program can be roughly categorized into craftwork, sweets making, music, food and drink, and discussion. Participants seemed refreshed after experiencing a number of differentoccupations, as many desired variety. The results of the questionnaire conducted in Marchalso showed that requests for new occupations were more than numerous for those alreadyperformed. We provided various kinds of occupations according to the requests from the participants, though not enough, in their time of need

Basic Guideline for Rehabilitation of Patients with Cleft Palate.

For the last quarter of a century, surgical techniques and speech therapy for the patient with cleft lip and palate have made remarkable progress, as other professional areas. However, recent survey of our patients and their family revealed that their needs and demands for medical and non-medical treatments had developed to a higher level and more comprehensive one. It goes without saying that the goal of rehabilitation for the patient with cleft lip and palate should not be limited to mere acquirement of a normal speech. With the recent advances in medical, surgical, orthodontic, and speech-therapeutic procedures, more attention is being directed to support of the patients and their family in the area of social functioning. Interdisciplinary cooperation is essential to an integrated cleft palate rehabilitation. This paper describes some of our recent steps toward that integrated approach. The subjects for discussion in this paper include 1. counselling techniques designed to promote healthy psychosocial development for parent and adult patients, 2. parent education according to rehabilitation program, 3. training camp, picnic and physical exercises for pre-school and early-school-age children, 4. velopharyngeal function test, i.e. nasoendoscopy, radiovideoscopy, and pneumotachography, and 5. training procedures used in our clinic to facilitate the correction of articulation errors, especially for adult patients

Treatment and Result of Slight Velopharyngeal Incompetence.

Fifty-five patients who had been diagnosed as slight velopharyngeal incompetence due to either repaired cleft palate CP (19 cases), submucous cleft palate SMCP (21) or congenital velopharyngeal incompetence CVPI (15) at our clinic from May 1976 to April 1982 were studied regarding the effect of speech therapy. They were all first placed under trial speech therapy which consisted of ① encouragement of the physical and mental development, ② articulation training without blowing exercise. Twenty-seven out of the 55 subjects underwent further surgery (mostly pharyngeal flap operation) after speech therapy for over 6 months at our clinic. On the other hand, 14 out of the 55 subjects improved velopharyngeal closure from slight incompetence to competence and corrected their faulty articulations through speech therapy alone. The success rate of speech therapy was higher in SMCP and CVPI than in repaired cleft palate. We emphasize that those who are judged as having slight velopharyngeal incompetence should first be placed under speech therapy for at least 6 months. The indication for further surgery are ① over age 5 years, and ② no improvement obtained in slight velopharyngeal incompetence and faulty articulation even by speech therapy for over one year

First Japanese Case of Carnitine Palmitoyltransferase II Deficiency with the Homozygous Point Mutation S113L

Carnitine palmitoyltransferase II (CPT II) deficiency is a rare inherited disorder related to recurrent episodes of rhabdomyolysis. The adult myopathic form of CPT II deficiency is relatively benign and difficult to diagnose. The point mutation S113L in CPT2 is very common in Caucasian patients, whereas F383Y is the most common mutation among Japanese patients. We herein present a case of CPT II deficiency in a Japanese patient homozygous for the missense mutation S113L. The patient showed a decreased frequency of rhabdomyolysis recurrence after the administration of a diet containing medium-chain triglyceride oil and supplementation with carnitine and bezafibrate