The purpose of this research is to clarify spread situation to be an index someone (number of transmission-ee) who was transmitted learning from participants of the health class for one year, the attribute, and geographic range.

　The salt reduced classroom was held by university and municipality at B town in A prefecture. Six times of total were carried out this classroom about one time pre month between five months from November 2005 to March 2006, in addition, the class association was held after a half year in December 2006. In this classroom, a self-entry questionnaire concerning spread situation for the participants were carried out. The questionnaire was distributed to 34 persons, and the answer was got from 24 persons. The respondent was a woman entirely. As the result, transmission-ee were 202 for one year, number of persons for respondent one year were the average of 8.4 persons.

　The family was 44.0% on the breakdown of the transmission-ee person, and friends and acquaintances were 56.0%, and men were 16.8%, woman were 83.2%, residential area, and the B town was 72.3% and outside of B town were 27.7%. From these results, learning from salt reduced classroom was clarified through homogeneity networks such as family and friend. More than 90% of men about transmission-ee were transmitted from his family. For this reason, learning from salt reduced classroom have highly possibility to spread him through his family, the possibility in which the educational effectiveness also reached the man by the participation of the woman within the family member was indicated.

　The aim of this study was to clarify the features of Nursing Judgments in collaboration with care workers to provide ‘nursing care'. A questionnaire survey was conducted on 485 nurses working at convalescent wards to ascertain the actual state of collaboration with care workers and Nursing Judgments for 15 actions related to ‘hygienic care (actions among "nursing care")'. The results were as follows: 1) According to the analysis of relations between an interpreter of the action and its enforcer, the person in charge of the decision carried out the action.; 2) The characteristic features of the Nursing Judgments about actions by nurses themselves (regarding as important items) included such items as ‘necessity for medical treatment' ‘severity of illness' ‘stability and possibility of sudden change' and ‘emergency system' etc. Those of the Nursing Judgments, in collaboration with care workers included such items as ‘psychosomatic state' ‘adjustment of time/number of times/frequency' ‘unification of the commodity' ‘place to provide cares' ‘relation to other actions' and ‘level of technique'. In the former, nurses focused on health problems of patients, change of their condition, and its management. In the latter (by collaboration), they focused on the patient's health condition, requirements and cooperation of service offers.

　Regular visits are indispensable for every HIV patient. In order to promote the supporting system for regular visits of HIV patients, this study investigated the factors that can facilitate continuation based on the medical records of 369 HIV patients. Among the analyzed 32563 patients, the outcome of 3 years after the first visit was that 292 (89.8%) were continuing visits (Continuation Cohort), 38 (10.5%) changed the hospital (Hospital Change Cohort), and 33 (10.2%) did not visit the hospital for over one year after the last visit (Discontinuation Cohort). The CD4 of Discontinuation Cohort at the first visit was higher than that of Continuation Cohort or that of Hospital Change Cohort, and within one year after the first visit, fewer patients in Discontinuation Cohort fell in the categories of "Introduction of HAART (highly active anti-retroviral therapy)," "Preventive Care for PCP (pneumocystis pneumonia)", "Hospitalization", or "Physical Disability Certificate Application." In addition, the reasons for continuation in the questionnaire on 54 outpatients were roughly categorized as "subjective symptoms and present treatment" and "fear for the progress of disease, specialized medicine, and recuperation support." Thus, it can be said that improvement of the medical environment is quite important for the promotion of regular visits.

　The purpose of this study was to clarify the relation between dietary constituents and the estimated stroke risk score in K city and G city of Aomori Tsugaru district.

　We calculated the stroke risk score using the Ibaraki risk scale from the annual health checkup data, and estimated daily food and nutrient intake utalising three day-dietary records using disposable cameras and menu cards. 136 people (53 men, 83 female) participated in this study.

　We assumed logit of risk score value as the dependent variable, and analyzed multiple regression analysis for an independent variable with intake of nutrient and food composition. The model developed utalising the phase index.

　As a result, intake of dietary fiber, vitamin C and mushrooms reduced the risk of stroke. In contrast, intake of β-carotene, legumes and eggs increased the risk of stroke.

　It is suggested that vitamin C from green vegetables and fruit , and dietary fiber from other vegetables and mushrooms worked to reduce the risk of stroke as a result of hypotensive action of the dietary fiber and vitamin C as an antioxidant.

　Functional Assessment of Chronic Illness Therapy-spiritual (FACIT-SP) was used with hematopoietic stem-cell transplant patients to clarify the change in quality of life (QOL) before and after entering a bioclean room. The QOL measurement was carried out in vertical sections. Six transplant patients who entered the bioclean room were individually analyzed.

　In this research, 4 persons out of 6 measured at the lonest score for FACIT-SP while in the bioclean room. A reduction in the score of a physical category and the functional category influenced the QOL score. The emotional category showed individual differences. The state anxiety of 3 patients, whose trait anxiety of State-Trait Anxiety Inventory (STAI) was high while in the bioclean room, decreased after leaving the room. The social and family category was found to be high before, during and after entering the bioclean room. The score for the spiritual category gradually increased throughout the treatment period. It is thought that as a result of overcoming this crisis, through the support of those around them, patients were provided with an opportunity to re-think the meaning of life and to streng then their own values and inner faith.

　The average life span of the people in Aomori prefecture was worst in Japan.

　The definition and diagnostic criteria of the metabolic syndrome was published in April 2005 in Japan. Metabolic syndrome raises the risks of the occurrence of myocardial infarction or stroke. Metabolic syndrome is influenced by dietary and exercise habits from youth. We surveyed the dietary habits of young people in Aomori prefecture and analyzed the relationship between their dietary habits and their abdominal circumferences by using the questionnaire on eating habits and by having the physical examination. The difference of the dietary habits and physical examination were statistically investigated in two groups, one was the warning group whose abdominal circumference ≧85cm in male or ≧90cm in female and the other was the normal group. The warning group showed high systolic blood pressure. From our research,we found that it was necessary to increase vegetable intake a day to take balanced diet, to eat breakfast everyday and no snack after 9:00pm for prevention of metabolic syndrome, for extension of the average life span and of the average health life span in Aomori prefecture.

　The aim of this study is to clarify which methods are predictive values to calculate risk score of stroke or coronary heart disease from annual health checkup data. Patients (case group) with stroke or coronary heart disease were collected from receipts of national health insurance in one city and four towns in Aomori prefecture at April 2006. Their risk scores were calculated from annual health checkup data by using 3 kinds of methods for stroke and 6 kinds of methods for coronary heart disease. Healthy persons (control group) were collected from the persons accepted annual health checkup in A city at 2006. Their risk scores were calculated from the checkup data as same as case group. Determination of predictive values in each calculation method of risk score was done by ROC analysis, and area under ROC carve (AUC) was calculated and compared.

　The prediction tool of stroke risk developed by Ibaraki prefecture was shown to have the highest predictive value for both of stroke (AUC=0.849) and coronary heart disease (AUC=0.859).

　The reasons why this tool is the most suitable may be due to the evidence which this tool is constituted from many items (17 items) determined in annual health checkups.

　From these results,it is shown that there is validate and avalable method to select high risk persons of stroke or coronary heart disease from annual health checkup data.

　Breslow's HPI (Health Practice Index) consisting of seven items is famous as a screening test of the lifestyle-related diseases. The study to apply HPI to a Japanese is performed,but there are some HPI which adjusted a question item for the Japanese. JHPI (Japanese Health Practice Index) is one of them.

　It is said that HPI has few changes by the aging, but the recent study has not demonstrated in JHPI. This is the problem to screening test for the validity.

　We examined that the JHPI changed by aging in the cross-sectional study. It was clarified that the mean of JHPI was significantly different by the generation. Furthermore, we reviewed using the ratio who answered ‘yes', it was strongly suggested that it was the change by aging.

　The purpose of this research is to analyze the role of ward nurses in the present community healthcare network, and to highlight some problems in nursing care.

　The subject was scenes of interactions with 11 ward nurses who work in two center hospitals which have a liaison section in Aomori prefecture. The data were collected through participant observation and were analyzed by the "modified grounded theory approach".

　As a result, 41 practices of ward nurses were identified, and seven roles of the ward nurse during community healthcare network emerged as follows, 1) information station, 2) liaison with other staff and agencies, 3) coordination of cooperation systems, 4) the primary force behind patient care culminating in discharge, 5) source of cooperation, 6) management of liaison of critical paths, and 7) nursing care in cooperation.

　The purpose of this study was to explore how nurses and caregivers judge the adaptation of the elderly with dementia on admission to a nursing home and how they assist in facilitating adaptation. 12 nurses and professional caregivers agreed to cooperate in the study and were divided into 2 groups. 2 focus groups were held, and the contents of the discussion were quantitatively analyzed based on the verbatim transcription. As a result, 8 categories for judging the adaptation of the elderly with dementia were established; they included "facial expression", "behavioral disorder", and "personal relationships". 8 categories, such as "giving meaning to their story and behavior", "supporting their story and behavior", and "adjustment of personal relationships", were found to assist adaptation to a nursing home. It is important to consider that non-adaptive behavior on admission is part of the adaptation process and, thus, meaningful. Furthermore, to minimize non-adaptive behavior, caregivers should immediately try to understand the various nonverbal/verbal signs from the elderly with dementia and respond to their hidden meaning, since this appears to facilitate their adaptation to a nursing home.