Purpose: To clarify the immediate effect of counseling focused on motivation to exercise
by physiotherapists in health classes after a specific health checkup.
Methods: The subjects were participants in either two health classes （n = 74）, who
underwent a specific health checkup in Fuefuki-city in 2016.The data were analyzed using
the Visual Analog Scale（ 100 mm） for changes in the degree of confidence and conviction in
class before and after the intervention. Further, the factors inhibiting exercise habits were
extracted from our counseling records.
Results: The intervention significantly affected confidence （mean difference 19.0 mm, p ≺
0.0001） and conviction（ mean difference 6.0 mm, p ≺ 0.0001）. The exercise-inhibiting factors
were pain （n = 25）, environmental factors （n = 25）, lack of knowledge （n = 18）, recognition
or value（ n = 12）, and other diseases（ n = 8）.
Conclusions: This study suggests that immediate effect of counseling by an expert in
exercise can significantly improve increasing confidence and conviction. Further, the
improvement of confidence was particularly high. This result is believed to reveal the factors
inhibiting exercise habits, and participants' confidence increased by eliminating those
factors. Intervention by an exercise expert may be important for health classes.
An internet survey was conducted to analyze whether exchanges with people with
disabilities and the sports experience have an influence on the degree of involvement in
sports for people with disabilities. 439 respondents between the ages of 10 to 60 responded,
and in the ascending order of the extent of involvement in sports for the disabled, 42 people
（9.6%） actually had experience of involvement in the sports for the disabled, 174 people
（39.6%） had no actual experience but were interested in information presented by the mass
media, and 23 people（ 50.8%） had neither experience nor interest. Comparison of these three
groups by the chi-squared test suggested that having a disabled person close to you and
having one's own sports experience would increase the degree of involvement in sports for
the disabled. Moreover, when implementing measures to increase the degree of involvement
in sports for the disabled, it was suggested that the expression “people with disabilities” is
more appropriate than the expression “handicapped.”
Purpose: This study aimed to identify the correlation between aerobic threshold（ AT） and
cardiopulmonary response at the start of exercise in patients with myocardial infarction（ MI）.
Subjects and Methods: Thir ty-one male patients with MI underwent a sub-maximal
cardiopulmonary exercise test with expiratory gas analysis to determine their peak oxygen
uptake （V ・O2） level, using Ramp protocol.
Results: The patients demonstrated an extended time constant（ TC） and decline in AT in this
study. Extended TC suggested impaired cardiac function due to reduced left ventricular
ejection fraction （LVEF）, as well as an LVEF of 59.8％ on average. However, there was no
significant correlation between TC and AT. Pearson product-moment correlation coefficients
were 0.56 between AT and area under the oxygen uptake curve （V ・O2AUC）, –0.22 between TC
and V ・O2AUC, and –0.23 between AT and TC.
Conclusion: V ・O2AUC is representative of oxygen utilization and is correlated with AT in
patients with MI.
Purpose: We conducted a survey regarding the after-school childcare acceptance rate of
elementary school students with developmental disabilities and the support needs of
occupational therapists who could serve them.
Material and Methods: Subjects comprised 255 after-school childcare facilities in the
Miyagi prefecture, including disaster areas following the 2011 earthquake that occurred off
the Pacific coast of Tohoku. Of these, 153 facilities （60%） responded. Numerical data are
presented using descriptive statistics. We used a text mining approach for free description.
This study was supported by the Welfare and Medical Service Network System. The author
declares no conflicts of interest.
Results: There were 8,782 enrolled subjects（ age, 7–12）. Of these, 309（ 3.5%） subjects had
diagnosed developmental disabilities. On an average, there were 2.0 students with
developmental disabilities per facility. Breakdown by diagnosis revealed the following:
physical disability （0.7%）, mental retardation （0.6%）, attention deficit hyperactivity disorder
（1.3%）, learning disorder（ 0.2%）, Autism spectrum disorder（ 0.7%）, and disaster-related posttraumatic
stress disorder （0.01%）. In tsunami disaster areas, students had developmental
disabilities is a closely identical rate compared with that of inland areas. Approximately, 23%
of the after-school childcare facilities had care workers trained in disability care procedures,
51% provided consultation services, 21% provided on-site guidance, and 72% had need for
occupational therapy support.
Conclusion: Our results suggested a clear need for occupational therapy support services
within after-school childcare facilities in the Miyagi prefecture.
We established a method for image-based diagnosis of cerebral stroke by
developing a phantom that could visualize cerebral stroke using X-ray CT imaging, while
evaluating the imaging conditions. We recently improved the contrast of acute-stage cerebral
infarction using virtual monochromatic images obtained by Dual-Energy CT. We measured
radiation doses using the newly developed phantom while assessing its potential clinical
application. In this study, the tube voltages with a thin（ Sn） filter were 80 kV / Sn 140 kV, 100
kV / Sn 140 kV, and 140 kV / 80 kV ; the tube current time products were 400, 600, and 800
mAs ; and the scanning range was 120 mm from the orbitomeatal line to the parietal region.
The dose was measured three times using TLD, and the absorbed dose was obtained from
the average. Compared with 120 kV, the absorbed dose could be reduced by approximately
47 ％ at 80 kV / Sn 140 kV, approximately 30 ％ at 100 kV / Sn 140 kV, and approximately
22 ％ at 140 kV / 80 kV, when the tube current time product was 600 mAs. Our dose
measurement for visualizing acute-stage cerebral infarction revealed that the dose could be
reduced with Dual-Energy CT compared with CT at 120 kV.