The Journal of Japan Academy of Health Sciences
Online ISSN : 2433-3018
Print ISSN : 1880-0211
ISSN-L : 1880-0211
Volume 20 , Issue 1
Showing 1-5 articles out of 5 articles from the selected issue
  • 2017 Volume 20 Issue 1 Pages 2-
    Published: 2017
    Released: October 10, 2018
    JOURNALS FREE ACCESS
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  • Yoriko Aoki, Tomiko Takeuchi, Mariko Niikura
    2017 Volume 20 Issue 1 Pages 5-12
    Published: 2017
    Released: October 10, 2018
    JOURNALS FREE ACCESS
    This study aimed to clarify the experiences of elderly spouses who serve as sur rogate decision makers when their par tners suf fer from a sudden onset of cerebrovascular disease and have difficulty with communication, from acute care hospital admission to discharge. Participants were five elderly spouses. Semi-structured interviews were conducted, and the contents were qualitatively and inductively analyzed. Surrogate decision-making by elderly spouses was classified into surgery, hospital transfer( discharge), medical treatment. With respect to surgery, spouses felt that “they had no choice but to leave care to the doctors” and that “they were the only ones who could make decisions.” With respect to hospital transfer( discharge), spouses realized “they were the ones to make the final decisions through compromising,” and during medical treatment, spouses were faced with the medical dilemma of “having no room to make choices at their own decision.” The findings of this study demonstrated the importance of medical professionals devising guidelines for the content, methods, and timing of explanations, as well as continuing to consider which events elderly spouses view as problematic.
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  • Setsuko Kamiya, Etsuko Matsuoka, Kanami Yamana
    2017 Volume 20 Issue 1 Pages 13-23
    Published: 2017
    Released: October 10, 2018
    JOURNALS FREE ACCESS
    Semi-structured interviews were conducted to clarify the attitudes of midwives working in birth centers in Great Britain. Six midwives participated in the study. The collected data were categorised and analysed qualitatively and inductively. The participants believed that ‘midwives were necessary for births in Great Britain’. Their views about midwifery included the following: ‘midwives’ thoughts on birthing primarily focus on the women’ and ‘midwives protect natural birthing’. Furthermore, as midwives, they embraced the following beliefs: ‘to protect natural birthing, it should be considered separate from medical care’; ‘the guidelines can be followed in various ways, but midwives should work towards a birth that respects the woman’s beliefs’; ‘midwives have the skills required for maternity care’; and ‘I want to be involved in facilitating natural births’. Great Britain’s midwifery education is believed to bolster dedication of midwives ; furthermore, governmental support through the establishment of maternity policies and the clear positioning of midwives and women giving birth within national maternity policies is also encouraging.
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  • Yasuaki Kusumoto, Osamu Nitta, Tadamitsu Matsuda, Kenji Takaki
    2017 Volume 20 Issue 1 Pages 24-28
    Published: 2017
    Released: October 10, 2018
    JOURNALS FREE ACCESS
    【Purpose】 This study aimed to investigate the characteristics of coordinated movement in adolescents with mild developmental disability. 【Methods】 Participants were 25 adolescents with mild developmental disability and 25 healthy adolescents. We examined coordinated movement through N type coordinated movement test. We analyzed the data by performing an unpaired t-test. 【Results】 The coordinated movement of the upper extremities, trunk, and lower extremities of adolescents with mild developmental disability while slowing down was significantly lower. The coordinated movement of the trunk and lower extremities of adolescents with mild developmental disability during catching was significantly higher. 【Conclusions】 Slowing down volley ball and tennis ball did not cause problems with ball control when slowed down at the natural speed. However, it was clear by the coordinated movement of the upper extremities, trunk, and lower extremities that slowing down was insufficient. Further, the catching action of adolescents with mild developmental disability were several excessive movements. Our results suggested that as the complexity of the task increased, ball control became more difficult.
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  • Hiroki Saito, Shinji Abe, Izumi Ogura, Tsuyoshi Kobayashi, Takuji Tsuc ...
    2017 Volume 20 Issue 1 Pages 29-36
    Published: 2017
    Released: October 10, 2018
    JOURNALS FREE ACCESS
    In this study, we considered the precision and characteristics of the transparent detector. Bottom of the many non-invasive type instruments detector is covered by a lead, measurements do not include X-ray scattering. Recently, transparent detector have been developed as a non-invasive type instruments Xi( Raysafes) option, can be performed dose evalutaion that includes X-ray scattering. We used X-ray equipment, conducting in-air, above- Poly methyl methacrylate( PMMA) phantom, internal-PMMA phantom and Auto Exposure Control( AEC) receptor internal measurements for transparent detector :TD, ionization chamber( 9015) and non-invasive type instruments( R/F). For air kerma measured by the TD, The TD has an upper dose limit, but error of the TD between the 9015 and the R/F was within ±3% , showing good correlation with each device.For above-PMMA dose measured by the TD, there was a trend towards larger error for lower tube voltage, but error was within ±5% when above 70 kV. For internal-PMMA and internal-AEC receptor dose measured by the TD, when compared to dose of the R/F, it was possible to include X-ray scattering in dose evaluation. As the TD is transparent type, there is little effect during AEC operation on dose volume, and entrance surface dose( ESD) inclusive of X-ray scattering is possible. This should be effective for X-ray equipment quality control.
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