The Journal of Japan Academy of Health Sciences
Online ISSN : 2433-3018
Print ISSN : 1880-0211
ISSN-L : 1880-0211
Volume 8 , Issue 1
Showing 1-21 articles out of 21 articles from the selected issue
  • Type: Cover
    2005 Volume 8 Issue 1 Pages Cover1-
    Published: June 25, 2005
    Released: October 27, 2017
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  • Type: Appendix
    2005 Volume 8 Issue 1 Pages App1-
    Published: June 25, 2005
    Released: October 27, 2017
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  • Type: Index
    2005 Volume 8 Issue 1 Pages Toc1-
    Published: June 25, 2005
    Released: October 27, 2017
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  • Toshiko Matsushita, Eisuke Matsushima
    Type: Article
    2005 Volume 8 Issue 1 Pages 5-14
    Published: June 25, 2005
    Released: October 27, 2017
    JOURNALS FREE ACCESS
    The purpose of this study was to assess the relationships between psychological characteristic such as anxiety, depression and QOL, and coping-style of patients with digestive cancer undergoing surgery. The following interviews and psychological tests were administered: (1) Japanese version of the Hospital Anxiety and Depression Scale (HADS), (2) Japanese version of SDS (Zung's Self Rating Depression Scale), (3) Japanese version of EORTC (European Organization for Research and Treatment of Cancer) QLQ-C30, (4) CISS (Coping Inventory for Stressful Situations). The first three tests were executed three times: before surgery, before discharge, and 6 months after discharge. The last one was done only before surgery. The results showed that there was no change over the three exam days for the average scores of anxiety, and that the scores of depression increased from before surgery to before discharge, and did not improve to the level of before surgery at six month after discharge. The changes in each sub-scale score of EORTC QLQ-C30 across the three exam days could be divided into the two typical trends. The one of them was the pattern of physical state' QOL such as global health status/QOL and Physical Function in which the score of QOL decreased from before surgery to before discharge, and increase again from before discharge to six months after discharge. The another typical trend was Social Function and Emotional Function's pattern in which the score of QOL showed no change from before surgery to before discharge, and improved from before discharge to six months after discharge. Next, the relationships between above-mentioned trends and individual coping-style were analyzed. The results showed that the higher the score of "emotion-oriented coping" was, the more severe anxiety and depression were, and the more deteriorating QOL such as global health status/QOL, Role Function and Emotional Function were. In summary, with regard to coping style of patients with digestive cancer undergoing surgery, it was clarified that especially emotion-oriented coping affected to individual psychological and QOL, moreover, it affected to not only psychological state but also global health status/QOL and role function. It was suggested that focusing on patient's coping-style, especially on emotion-oriented coping was important, and patients likely to take more emotion-oriented coping should be especially took into consideration.
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  • Kyoko Chiba, Yousuke Kurihara, Kayoko Kawahara, Kazu Amimoto
    Type: Article
    2005 Volume 8 Issue 1 Pages 15-21
    Published: June 25, 2005
    Released: October 27, 2017
    JOURNALS FREE ACCESS
    This study aims to construct an evaluation system for rehabilitation activities to handily calibrate "the standing up motions from the sitting position" at home and to check the regained physical functions. Patients with cerebrovascular disorders who require rehabilitation need to regain this motion to lead an independent life. The system uses gyro sensors to calibrate the rotary motions of the truncus of the patients in standing up motion. Among the calibrated waveforms, the evaluation parameter applies the maximum and the minimum values of the angular velocity and the maximum value of the angle. We then conducted the calibrations under four presumable clinical conditions. The calibrated waveforms were compared with the parameters at each condition, and different results were obtained. The above experiments therefore infers the feasibility of this system to calibrate and evaluate "the standing up motion from the sitting position" at home.
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  • Miwako Kurashita, Masako Sugimoto
    Type: Article
    2005 Volume 8 Issue 1 Pages 22-31
    Published: June 25, 2005
    Released: October 27, 2017
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    The purpose of this study is to examine the specific roles of public health nurses engaged in drug-related services at health centers. The concern with drug abuse or drug dependence has been growing. Data were gathered by semi-structured interviews from 5 public health nurses serving 4 health centers in Tokyo. The roles of public health nurses in drug-related services were: (1) to find problems such as the possibility of a hidden drug problem in difficult-to-resolve cases, (2) to collect information to understand problems based on the accumulation of consultation cases and topics perceived by individuals involved in district public health services, (3) to coordinate the integration and implementation of drug-related services with adolescent services, (4) to network through the liaison of supporters, individuals who recovered from drug dependency and self-help groups, (5) to introduce the perspective of prevention, such as perceiving the importance of fostering a mentality from childhood, so that individuals do not fall into health problems with drugs, and (6) to link hidden drug cases to early-stage counseling. The need for experience and sensitivity, such as skilled assessment ability and determination based on a broad range of perspectives, was suggested for the roles of public health nurses in drug-related services based on that content.
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  • Minako Seki
    Type: Article
    2005 Volume 8 Issue 1 Pages 32-37
    Published: June 25, 2005
    Released: October 27, 2017
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    The purpose of this study was to compare with adult and elderly women in regard to the effect of walking exercise in a swimming pool. Subjects were thirty-three in which adult women were eighteen (20≤age≤59years) and elderly women were fifteen (60≤age≤79years). They did walking exercise of 50% strength of maximum aerobic capacity in a swimming pool. In order to measure the exercise effect, the simple stamina questionnaire, the Euro QOL questionnaire, and the consciousness questionnaire pertaining to daily life were employed. The average of subject's age were 45.3±10.2 (mean±SD) for adult women and 65.9±3.6 for elderly women. As a result adult women were superior to elderly women in simple stamina (t 11.00, F 15), whereas elderly women were superior to adult women in both HR-QOL of Euro QOL (t 2.69, F 13) and consciousness of daily life (t 10.5, F 13).
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  • Masako Sugimoto, Kayoko Kawahara, Junko Takaishi, Shiho Gotoh, Makiko ...
    Type: Article
    2005 Volume 8 Issue 1 Pages 38-45
    Published: June 25, 2005
    Released: October 27, 2017
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    Objective: The aim of this study is to provide quality care for the patient and family by examining real conditions and family needs at the time home hospice care is received. Sample: 4 families (6 family members) who received grief care after patients' death at H home hospice care. Method: Interviews and semi-structured questionnaires were utilized. Time was limited to approximately one hour. The interviews were recorded after receiving families' permission. Results: (1) All 4 patients strongly wished to die at home under home hospice care. (2) They had a main caregiver who took the role of a key person. Advantages of receiving home hospice care were: Closeness between the patient and family. The patient was able to live his own life. Difficulties of receiving home care: Family's anxiety toward appropriate symptom management for the patient. Psychological and physical family burdens were great. (3) All families were satisfied with their decision to choose home hospice care as opposed to other care facilities and home hospice care is much less costly than dying in a hospital. (4) 3 families received information about home hospice care from their physicians in the hospital which means the availability of home hospice care is starting to penetrate from hospital to community. (5) Families were satisfied with the care received from hospice physicians, nurses, and other medical staffs, but it was suggested that medical staffs must give more attention to family side concerns. Conclusion: The families expressed high satisfaction with the services received from H home hospice care, however, they experienced high anxiety and significant burdens. Areas needing improvement: (1) More support to the family while addressing family concerns. (2) Develop educational programs for caregivers. (3) Improve direct care givers' environment.
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  • Koji Nakamaru, Ken Yanagisawa
    Type: Article
    2005 Volume 8 Issue 1 Pages 46-50
    Published: June 25, 2005
    Released: October 27, 2017
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    One of the propriocepive neuromuscular facilitation (PNF) starting positions increases the amplitude of Hoffman-reflex (H-reflex). The neck-rotated positions increase or decrease the amplitude of H-reflex by asymmetric tonic neck reflex (ATNR). The purpose of this study was to investigate the effects of combined positions (shoulder PNF starting positions combined with neck-rotated positions) on H-reflex of soleus muscle. Nine healthy male subjects participated in this study. Subjects were passively kept at shoulder PNF starting positions and at the same at neck-rotated positions. The H-reflex amplitude at combined position was compared with that of the controlled position. The amplitude of the H-reflex increased when the ipsilateral neck-rotated position was combined to left and right shoulder PNF starting position or when the contralateral neck-rotated position was combined to left shoulder PNF starting position. The amplitude of the H-reflex did not decrease when the contralateral neck-rotated position combined to right shoulder PNF starting position. This finding suggested that the PNF starting position was more effective to soleus motoneuron excitability than ATNR effects.
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  • Yoko Asai, Seiki Kaneko, Keiko Otsu
    Type: Article
    2005 Volume 8 Issue 1 Pages 51-58
    Published: June 25, 2005
    Released: October 27, 2017
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    BACKGROUND: Standing from a seated position is a common activity that is performed many times during the course of day and is a skill that indicates the functional level of a person. In this motion, flexion motion of the trunk is an indispensable movement. Then, the limitation of the motion alters the course of center of mass and influences lower extremity kinetics. PURPOSE: Author aimed to analyze lower extremity muscle force under restricted trunk flexion movement in sit-to-stand (STS) motion using biomechanical model. METHODS: Ten healthy adult subjects performed the STS motion in 2 different manners: 1) free STS motion as usual activity, 2) STS motion with diminished trunk flexion. Kinematic and kinetic data were gathered using a three-dimensional motion analysis system (Oxford Metrics VICON370) with force plates. RESULTS: The author recognized significant influence on the magnitude of lower joint moment by the restricted trunk flexion. Strongest correlation between the amount of the joints moment and trunk flexion angle was found at a period of the buttock off the chair and of the maximal hip extension. During the STS motion with less flexion of trunk, compared to the free STS motion, the hip extension moment became large, and the moment of knee extension was lessened. The maximal knee extension moment appeared after the hip extension moment reached its maximum. More, the center of mass moved backward. The load of the knee extensors increased. And more, the correlation between movement of head, neck and upper trunk and moment of knee extension was recognized. CONCLUSIONS: In STS motion, the influence of trunk flexion angle was detected in all the lower extremity joint moments, and it was induced that the center of mass moved backwardly. The author confirmed that limited movement of trunk and trunk segmental movement decreased the load of the knee increased.
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  • Type: Appendix
    2005 Volume 8 Issue 1 Pages 59-62
    Published: June 25, 2005
    Released: October 27, 2017
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  • Type: Appendix
    2005 Volume 8 Issue 1 Pages 63-
    Published: June 25, 2005
    Released: October 27, 2017
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  • Type: Appendix
    2005 Volume 8 Issue 1 Pages 64-65
    Published: June 25, 2005
    Released: October 27, 2017
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  • Type: Appendix
    2005 Volume 8 Issue 1 Pages 66-67
    Published: June 25, 2005
    Released: October 27, 2017
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  • Type: Appendix
    2005 Volume 8 Issue 1 Pages App2-
    Published: June 25, 2005
    Released: October 27, 2017
    JOURNALS FREE ACCESS
    Download PDF (49K)
  • Type: Appendix
    2005 Volume 8 Issue 1 Pages App3-
    Published: June 25, 2005
    Released: October 27, 2017
    JOURNALS FREE ACCESS
    Download PDF (49K)
  • Type: Appendix
    2005 Volume 8 Issue 1 Pages App4-
    Published: June 25, 2005
    Released: October 27, 2017
    JOURNALS FREE ACCESS
    Download PDF (49K)
  • Type: Appendix
    2005 Volume 8 Issue 1 Pages App5-
    Published: June 25, 2005
    Released: October 27, 2017
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    Download PDF (40K)
  • Type: Appendix
    2005 Volume 8 Issue 1 Pages App6-
    Published: June 25, 2005
    Released: October 27, 2017
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    Download PDF (31K)
  • Type: Appendix
    2005 Volume 8 Issue 1 Pages App7-
    Published: June 25, 2005
    Released: October 27, 2017
    JOURNALS FREE ACCESS
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  • Type: Cover
    2005 Volume 8 Issue 1 Pages Cover2-
    Published: June 25, 2005
    Released: October 27, 2017
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