The Journal of Japan Academy of Health Sciences
Online ISSN : 2433-3018
Print ISSN : 1880-0211
ISSN-L : 1880-0211
Volume 21 , Issue 3
Showing 1-6 articles out of 6 articles from the selected issue
  • 2018 Volume 21 Issue 3 Pages 108-
    Published: 2018
    Released: October 14, 2019
    JOURNALS FREE ACCESS
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  • Yuta Sakamoto, Takashi Amari
    2018 Volume 21 Issue 3 Pages 111-120
    Published: 2018
    Released: October 14, 2019
    JOURNALS FREE ACCESS
    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.
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  • Nami Shida, Yumi Ikeda
    2018 Volume 21 Issue 3 Pages 121-129
    Published: 2018
    Released: October 14, 2019
    JOURNALS FREE ACCESS
    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.”
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  • Sawako Yamamoto, Yorimitsu Furukawa, Seiji Fukushima, Osamu Nitta
    2018 Volume 21 Issue 3 Pages 130-135
    Published: 2018
    Released: October 14, 2019
    JOURNALS FREE ACCESS
    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.
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  • Ryuji Kobayashi, Yuko Ito, Rie Maki, Yu Ishibashi
    2018 Volume 21 Issue 3 Pages 136-141
    Published: 2018
    Released: October 14, 2019
    JOURNALS FREE ACCESS
    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.
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  • Hidetake Hara, Hiroshi Muraishi, Hiroki Matsuzawa
    2018 Volume 21 Issue 3 Pages 142-147
    Published: 2018
    Released: October 14, 2019
    JOURNALS FREE ACCESS
    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.
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