The Journal of Japan Academy of Health Sciences
Online ISSN : 2433-3018
Print ISSN : 1880-0211
ISSN-L : 1880-0211
Volume 24, Issue 3
Displaying 1-6 of 6 articles from this issue
  • 2021 Volume 24 Issue 3 Pages 142-143
    Published: 2021
    Released on J-STAGE: November 04, 2023
    JOURNAL FREE ACCESS
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  • Tatsuya Kaneno, Sawako Saito, Hirotaka Mutsuzaki
    2021 Volume 24 Issue 3 Pages 145-161
    Published: 2021
    Released on J-STAGE: November 04, 2023
    JOURNAL FREE ACCESS
    This study aimed to understand the connections between working as a ”professional soccer player” and doing ”soccer-related job” based on the recognition of their occupational meaning and functions by former professional soccer players with no mental health problems.
    Nine former professional soccer players with no mental health problems participated in semistructured interviews, and a continuous comparison method was used to qualitatively analyze the data.
    We identified seven ”connections through acquisition of the same meaning and function.” Among the different meanings and functions between jobs, there were four ”connections through changes based on the meaning and function of working as a professional soccer player.” Even if the meanings and functions were different between the jobs, it was understood that there were connections between the jobs. The connections between jobs found in this study are considered to be related to a smooth occupational transition and may afford us a new perspective on effective occupational transition support.
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  • Erayanti Saloko, Ryuji Kobayashi, Yuko Ito
    2021 Volume 24 Issue 3 Pages 162-174
    Published: 2021
    Released on J-STAGE: November 04, 2023
    JOURNAL FREE ACCESS
    Introduction: Autism Spectrum Disorder (ASD) is a complex neurodevelopmental disorder characterized by repetitive and atypical behavior with deficits in social communication and interaction. These deficits have challenged occupational therapists in Indonesia on how to interact with individuals with ASD, and to create a therapeutic relationship for occupational development. It is the continuing advancement in occupational behaviors across an individual’s life course, resulting from the growth and maturation.
    Objectives: This study was conducted to develop a model of occupational development therapeutic relationship for individuals with ASD from the perspective of Indonesian occupational therapists.
    Methods: Obtaining ethical clearance from Tokyo Metropolitan University in Japan, the study implemented the grounded theory. Purposive sampling was applied, and 19 Indonesian occupational therapists were recruited as participants. Four focus group interviews were conducted online from May to July 2020. Data were collected from interview transcripts and pictures of interventions in each participant’s facility. A constant comparison was applied to the analysis.
    Results: Four themes that structured as a process formed a model of occupational development therapeutic relationship in ASD intervention. The process starts with a click, and finally, results in developing occupational engagement in which occupational performance and participation are expected as occupational therapy outcomes. The findings are illustrated by quotes taken from the interview transcripts to ground from an authentic perspective.
    Conclusions: This model compromises a simple yet dense process of occupational development therapeutic relationships. Specifically conceptualized for individuals with ASD allows the model to focus on addressing how occupational therapists interact and empower individuals with ASD and their families. Implications of the finding is significant for policy, theory, practice and further research in occupational therapy.
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  • Ryoji Tsujimoto, Michiharu Sekimoto, Toru Negishi, Yoh Katoh
    2021 Volume 24 Issue 3 Pages 175-180
    Published: 2021
    Released on J-STAGE: November 04, 2023
    JOURNAL FREE ACCESS
    The face guard is located at the height of the head in mammography examination. The purpose of this study is to verify using Monte Carlo simulation how the face guard affects the scattered radiation that the subject can receive when the face guard extends near the compression plate.
    The target/addition filters were W/Ag and W/Rh, the tube voltage was 30 kV and 35 kV, and the extension length was 20, 30, and 40 cm.
    As a result, at a tube voltage of 35 kV, it was confirmed that the scattered radiation generated from the breast (phantom) was shielded from 30.7% to 0.01% due to the extension of the face guard in the case of the combination of W/Rh in the case of the combination of W/Rh, reducing the exposure. Has been confirmed to be effective. At present, there is no face guard that extends near the breast, but it is suggested that if the face guard extension type proposed by us is implemented, the exposure reduction of the subject will be enhanced.
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  • Kunihiro Watanabe, Hirotaka Mutsuzaki, Takashi Fukaya, Toshiyuki Aoyam ...
    2021 Volume 24 Issue 3 Pages 181-190
    Published: 2021
    Released on J-STAGE: November 04, 2023
    JOURNAL FREE ACCESS
    Using the finite element method (FEM) with X-ray computed tomography (CT-FEM), bone strength analysis can predict deformation and compressive fracture of bone structure due to external force. CT-FEM has been performed in the knee joint area for some time, but the conventional method is the construction of a two-dimensional model and the analysis of a model that does not include joints such as the femur and lower leg bone.
    In this study, assuming a static force balance to enable easy analysis using FEM software alone and using the pig knee joint, a model setting of the normal knee joint was performed considering muscle strength, anatomical ligaments, and the meniscus. Our paper outlines the model setting procedure, material setting method, load calculation, and display method of results, and the equivalent stress when the longitudinal elastic modulus and friction coefficient of the meniscus increase with respect to the tibial cartilage surface and subchondral tibial surface at the time of standing up. We found that by increasing both coefficients, the load spread over a wide area of cartilage. Furthermore, the subchondral tibial surface did not show significant changes with respect to the cartilage surface. We demonstrated that the model is close to clinical practice, such as increasing the stress on the cartilage surface by increasing the longitudinal elastic modulus and friction coefficient of the meniscus.
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  • Chisako Mizuo
    2021 Volume 24 Issue 3 Pages 191-202
    Published: 2021
    Released on J-STAGE: November 04, 2023
    JOURNAL FREE ACCESS
    Regarding midwifery care for the progress of labor during epidural anesthesia delivery, we examined the Western literature in which epidural anesthesia delivery is the mainstream method of delivery.
    As a result, 3 control studies on walking in the 1st period, 4 control studies on posture in the 1st period, 3 control studies on posture in the 2nd period, and 1 control study during the period of effort in the 2nd period. 19 control studies including 11 were extracted, 1 questionnaire survey, 1 case report, and 6 Cochrane systematic reviews. As midwifery care for epidural anesthesia delivery, which is at risk of prolonged delivery, there was a study on how to improve the position of the mother using walking and peanut balls, and when to start her efforts. Since the intention of the mother and the block state of the motor nerve and sensory nerve by the anesthetic affect the walking and the ingenuity of the body position, it is important to ensure the safety while observing the influence of the anesthetic. Furthermore, regarding the start time of the second phase of effort, it is necessary to show the basis and index of the start time of effort other than the sense of physiological effort.
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