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Article type: Cover
2013 Volume 15 Issue 4 Pages
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Published: March 25, 2013
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Index
2013 Volume 15 Issue 4 Pages
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Yumi Hirahara, Kayoko Kawahara
Article type: Article
2013 Volume 15 Issue 4 Pages
187-196
Published: March 25, 2013
Released on J-STAGE: October 27, 2017
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The present study aimed to clarify the feelings and difficulties experienced during home care by cancer patients undergoing outpatient chemotherapy. Data from semi-structured interviews conducted on 5 cancer patients currently attending hospital for outpatient chemotherapy were subjected to qualitative and descriptive analyses. The following 6 categories were identified regarding living with home care in cancer patients undergoing outpatient chemotherapy: 'physical hardship due to cancer and anticancer drugs', 'loss of freedom due to physical changes', 'conflict with family', 'hardship of facing illness alone', 'anger at being robbed of dignity', and 'feelings of not wanting to give up chemotherapy'. The present findings clarified that cancer patients receiving home care while undergoing chemotherapy were living with loss of freedom while dealing with fear of death and anger toward and conflict with hospital medical staff but that they did not want to give up living.
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Takako Shiratori
Article type: Article
2013 Volume 15 Issue 4 Pages
197-209
Published: March 25, 2013
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The object of this study was to investigate nursing practice to support appropriate "Informed Consent"(IC) of patients who undergo cardiac catheterization in the hospital. Semi-structured interviews were conducted with 12 nurses who work in a cardiovascular unit. The information gathered through these interviews was analyzed qualitatively and inductively. Categories that were extracted; "Judgment of necessity of support", "Catch of fluctuations", "Support of understanding with a clear description and image of cardiac catheterization", "Boost of free decision", "Connection between surgeons and patients" were extracted from support of IC about undergoing cardiac catheterization. "Support for understanding nursing care", "Decisions of nursing care on a conjoint basis", "Esteem of refusal,", "Negotiation with surgeons" were extracted from support of IC about nursing care. "Encouragement of expression of will", "Resolution of worry of patients", "Ways to promote understanding of the patient" were extracted from both groups in common. Nurses try to encourage the patients to express their intentions clearly and make informed decisions.
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Kazuna Ichikawa, Hitoshi Takei, Masashi Matsumura, Hideyuki Usa, Daisu ...
Article type: Article
2013 Volume 15 Issue 4 Pages
210-218
Published: March 25, 2013
Released on J-STAGE: October 27, 2017
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In the present study, we classified postures of head, cervicothoracic spine, and scapula, upper extremities in standing position, and investigated relation with alignment, muscle strength, and the range of motion(ROM). Subjects were 32 healthy adults, and the mean age was 21.9 years. For alignment measurement, six items were measured for scapula, head, and cervicothoracic spine. The ROM was determined with respect to shoulder joint, scapula, cervices, and trunk, while measurement of muscular strength (maximal voluntary contraction) was conducted for shoulder joint, scapula, and body trunk. Results and alignment were classified into three groups,viz. groups containing Group A: scapular abduction, an anterior tilting group, Group B: thoracic kyphosis, a forward head, the scapula downward rotation group, and Group C: ideal alignment group. Moreover, in Group B, decrease in the degree of bending on cervical side, and subscapular rotation in parallel indicated the possibility of the shortening of levator scapulae. Based on this, in the present study, though relation was found between alignment and the ROM, no relation was found between alignment and muscular strength.
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Akio Kamiya, Hitoshi Takei, Kotaro Takeda, Yoshihiro Muraoka, Yoshihir ...
Article type: Article
2013 Volume 15 Issue 4 Pages
219-230
Published: March 25, 2013
Released on J-STAGE: October 27, 2017
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We investigated the characteristics and recovery process of pelvic obliquity during gait and the motor functions of patients with or without Trendelenburg inverse gait, before and after total hip arthroplasty (THA). This study included 18 women who underwent unilateral total hip arthroplasty; informed consent was obtained from these patients. Before the operation, patients were divided into 2 groups: 8 Non-Trendelenburg inverse gait patients (NTI group) and 10 Trendelenburg inverse gait patients (TIgroup). We performed 2 analyses at before THA and at 2 weeks, 4 weeks and 6 months after THA. The first involved sthenometry and measurements of the range of hip abduction-adduction motion and trunk lateral bending; the second involved measurement of pelvic obliquity and the range of hip abduction-adduction motion during the stance phase in gait. Preoperatively, the range of hip adduction motion was significantly lower in the TI group than in the NTI group. In the TI group, abduction muscle strength of the affected hip side decreased at 2 and 4 weeks. At 6 months, the affected hip side showed joint adduction muscle weakness in the TI group as compared to the NTI group. Before operation in the TI group, restrictions in the range of hip adduction motion of the affected hip side may cause Trendelenburg inverse gait. Furthermore, compared with the NTI group, the TI group showed delayed recovery of hip joint abduction in the affected side as well as decrease in the hip joint adduction muscular strength of the affected side.
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Kiyomi Tateyama, Takashi Yamada, Hisayo Shimizu
Article type: Article
2013 Volume 15 Issue 4 Pages
231-239
Published: March 25, 2013
Released on J-STAGE: October 27, 2017
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The purpose of this study is to develop an evaluation for Sensory modulation disorders affecting adolescents and adults. This Japanese Sensory Inventory Revised(TSI-R) research was conducted across 120 university and college students to help determine the questions in the evaluation form. As a result, young adults (university students and college people) have shown lower appearance rate than early childhood in the vestibular, tactile and proprioceptive sensation, and they also have higher appearance rate than early childhood in the senses of hearing, sight, smell and taste. It is considered that this difference is caused by changes in their preferred activities and sensory seeking behaviors due to their age and growth. Also they can be more aware of the sense of auditory, visual, smell, and taste in this age group and thus it is easier for them to check these items. Therefore, it is suggested that more sensitive standards have to be implemented to show how much it actually interferes with their daily lives.
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Shigeo Kohashi
Article type: Article
2013 Volume 15 Issue 4 Pages
240-259
Published: March 25, 2013
Released on J-STAGE: October 27, 2017
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To examine the relationships between stress, burnout, and job turnover intention among teachers, a questionnaire survey of stressor and burnout severity as well as job turnover intention was conducted with 176 elementary and junior high school teachers. A hierarchical multivariate analysis was performed on 170 valid responses. Two stressors related to work environment, perceived busyness and perceived burden, were found to have a strong relationship with burnout. A covariance structure analysis was then performed for a burnout-mediated model of the process leading from these stressors to job turnover intention. The results of this analysis demonstrated that the process leading from perceived busyness to turnover intention first involves an increase in emotional exhaustion then branches into three paths: (1) a path mediated by depersonalization, (2) a path mediated by personal accomplishment, and (3) a path directly mediated by emotional exhaustion. In contrast, perceived burden was demonstrated to effect turnover intentions through two paths: (1) a path mediated by depersonalization and (2) a path mediated by personal accomplishment. This indicates that perceived burden has more influence than perceived busyness as a workplace environment stressor that leads to job turnover intention mediated by burnout.
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Article type: Index
2013 Volume 15 Issue 4 Pages
260-263
Published: March 25, 2013
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Article type: Index
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
265-
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
266-267
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
268-269
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
270-271
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
272-273
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Appendix
2013 Volume 15 Issue 4 Pages
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Article type: Cover
2013 Volume 15 Issue 4 Pages
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Published: March 25, 2013
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