We conducted semi-structured interviews with seven nurses who had recently
graduated from colleges and had been working in children’s wards for less than 2 years, to
examine their motivations for continuing to work as nurses. Analysis of the accumulated data
led to extraction of four themes:（ 1） The nurses change their way of thinking and start to
learn from mistakes;（ 2） They have a clear aim for the nursing care that they will provide;
（3） Positive responses from children and parents help the nurses feel they are valued staff
members, and（ 4） The support of others incentivizes them to continue their work. It is
important for newly graduated nurses to consider what they should do now to benefit their
future paths, gain a clear image of the nursing care they will provide, and feel that their
respective hospital wards are the right place for them.
This study aimed to provide an unbiased report regarding the experience of
patients who underwent radical or semi-radical hysterectomy during bladder training. The
participant observation and unstructured interview techniques were conducted, and the data
of three patients who were included in this study were analyzed using the phenomenological
approach developed by Thomas et al. As a result, eight themes were identified and
demonstrated changes in the feelings and perceptions of patients who underwent radical or
semiradical hysterectomy during bladder training. Emotional changes in patients may be
caused by sudden functional changes in their bodies, which had worked unconsciously until
the surgery. With respect to the patients’ efforts to regain the ability to normally urinate in
daily life via bladder training, medical providers are recommended to focus on changes
related to patient urination in both objective measurements and actual feeling. Moreover,
supporting patients by focusing on their subjective recover y of normal urination is
［ Purpose］ We aimed to elucidate the relationship between an ankle selective
muscle release operation for patients with diplegic cerebral palsy and selective motor control
in the lower extremities.
［Methods］ Nine patients with diplegic cerebral palsy participated in this study. To assess
the relationship between an ankle operation and selective motor control in the lower
extremities, we compared a Selective Control Assessment of the Lower Extremity（ SCALE）,
Modified Ashworth scale（ MAS）, and ankle ROM before and after the operation. We also
examined the correlation of the degree of improvement in the SCALE and MAS. The SCALE
can assess selective motor control, while MAS can assess the feeling of resistance.
［Result］ There were meaningful improvements in the SCALE, MAS, and ankle ROM.
There were meaningful correlations between the degree of improvement in the SCALE and
［Conclusion］ The ankle operation and postoperative physical therapy improved the
SCALE, MAS, and ankle ROM. The feeling of resistance with dorsiflexion of the ankle joints
was related to improvement of selective motor control in the lower extremities.
It has been observed there is height difference on the left and right sides of the
pelvis in sitting position of one-sided hip flexion limitation cases. However, there is little
report on the relationship between the left and right height difference of the pelvis and one-sided
hip flexion limitation in sitting position. Thus, this study investigated the relationship of
the height difference between the left and right pelvis and the one-sided hip flexion limitation
cases in sitting position. The subjects were 9 individuals with one side total hip arthroplasty.
In sitting position, subjects were photographed from frontal plane. From the taken image, the
lateral pelvic tilt angle was measured using rysis（ sitting posture measurement software）.
Then, the left and right height difference of anterior superior iliac spine（ ASIS） was
calculated［ ASIS height difference＝ASIS distance×sin（ the lateral pelvic tilt angle）］.
Correlation analysis between ASIS height difference and 80- the limited side hip flexion angle
was performed. As a result, a strong correlation between the limited side hip flexion angle
and ASIS height difference（ r＝0.8, p＜0.05） was found. This study showed that one-sided
hip flexion limitation leads to the elevation of the limited side pelvis in sitting position. There
is a possiblity that one-sided hip flexion limitation in sitting position contributes to the
concentration of pressure on one side of the ischium.
Traditionally, it has been difficult to visualize acute cerebral stroke from images
produced by X-ray computed tomography（ CT）. We have recently developed a phantom that
simulates acute cerebral stroke. We attempted to visualize an acute-stage cerebral infarction
by using Dual-Energy CT（ DECT） to obtain composite imaging of this phantom. Composite
images were created by using DECT voltages combination at 80 kV/Sn 140 kV, 100 kV/Sn
140 kV, 140 kV/80 kV, were obtained in such a way that the sum of the assigned weight
coefficients became 1.0. Calculation of the CNR values allowed us to evaluate the visualization
of acute-stage cerebral infarction. The CNR value of composite images were the highest at
low energy side 0.5, high energy side 0.5, under 80 kV/Sn 140 kV and 140 kV/80 kV, and at
low energy side 0.6, high energy side 0.4, under 100 kV/Sn 140 kV. The CNR values of
composite images at weight coefficients between 0.4 and 0.6 were significantly higher than
those obtained for all other created coefficients images. Therefore, the optimal conditions for
visualizing acute cerebral stroke were achievable.