臨床医学に環境・労働の観点を

・tai chiって、英語で太極拳のことなんですね。最初この言葉見たとき、タイ（国）のチャイ（お茶）かなと思いました。しかし、国としてのタイはThaiだし、お茶のチャイは、ｃｈａｉですし．．．それは、さておきＮＥＪＭに以下のような論文がありました。

 A Randomized Trial of Tai Chi for Fibromyalgia

N Engl J Med 2010; 363:743-754

Aug 19, 2010

http://www.nejm.org/doi/full/10.1056/NEJMoa0912611 

Background

Previous research has suggested that tai chi offers a therapeutic benefit in patients with fibromyalgia.

Methods

We conducted a single-blind, randomized trial of classic Yang-style tai chi as compared with a control intervention consisting of wellness education and stretching for the treatment of fibromyalgia (defined by American College of Rheumatology 1990 criteria). Sessions lasted 60 minutes each and took place twice a week for 12 weeks for each of the study groups. The primary end point was a change in the Fibromyalgia Impact Questionnaire (FIQ) score (ranging from 0 to 100, with higher scores indicating more severe symptoms) at the end of 12 weeks. Secondary end points included summary scores on the physical and mental components of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). All assessments were repeated at 24 weeks to test the durability of the response.

Results

Of the 66 randomly assigned patients, the 33 in the tai chi group had clinically important improvements in the FIQ total score and quality of life. Mean (±SD) baseline and 12-week FIQ scores for the tai chi group were 62.9±15.5 and 35.1±18.8, respectively, versus 68.0±11 and 58.6±17.6, respectively, for the control group (change from baseline in the tai chi group vs. change from baseline in the control group, −18.4 points; P<0.001). The corresponding SF-36 physical-component scores were 28.5±8.4 and 37.0±10.5 for the tai chi group versus 28.0±7.8 and 29.4±7.4 for the control group (between-group difference, 7.1 points; P=0.001), and the mental-component scores were 42.6±12.2 and 50.3±10.2 for the tai chi group versus 37.8±10.5 and 39.4±11.9 for the control group (between-group difference, 6.1 points; P=0.03). Improvements were maintained at 24 weeks (between-group difference in the FIQ score, −18.3 points; P<0.001). No adverse events were observed.

Conclusions

Tai chi may be a useful treatment for fibromyalgia and merits long-term study in larger study populations.

 何か、これ書いていて、急にｃｈａｉが飲みたくなっちゃいました。なんちゃって。（韻とオヤジギャグ分かるかな？）  

以下日記

・太極拳というと陳家太極拳や猛虎硬爬山、双方貫耳という技を思い出します。（なぜ、これを連想するか、そのわけが分かった人はエライ）・・・太極拳したくなったな。

・本日は、7時30分病院着。回診、ショートステイの対応、人工呼吸中の患者さんのお風呂入れ、調整会議、夜間診療といろいろ。特に夜間診療は最後の方に重症の患者さんが来て、20時50分頃やっと終わってチカレタビー。病院でたのが、21時過ぎ。何時間労働？21時45分帰宅です。

・昨日夜、『もやしもん』の8巻読了。ビールの話で、私にとってUpToDate.巻末に地ビール屋さんの紹介あり。参考になります。（ただ、メディアリテラシーからいうと、これらの地ビール屋さんは、このまんが製作に協力しており、作者は、これらの酒造を紹介するにあたり、negativeな評価をあたえづらいと考えられるので、割り引いて考えないと。まあ、そもそも「味」は、好みというのがありますしね。）