Purpose: In general, the development of infants is promoted through their own early spontaneous movements. However, the characteristics of spontaneous movements and effects of interventions in extremely low-birth weight (ELBW) infants are unclear. The purpose of this study was to reveal the characteristics of spontaneous movements and the effects of the use of an infant pillow in ELBW infants at 1-month corrected age.

Methods: We evaluated spontaneous movements with and without the pillow in 8 ELBW infants and 8 term infants. The mean gestational age and birth weight of the ELBW infants were 24.6 weeks and 729 g, respectively. The ELBW infants were evaluated in Tokyo Women’s Medical University Hospital at 1-month corrected age. The term infants were evaluated at their home at 1 month after birth. Spontaneous movements were analyzed using the Microsoft Kinect depth sensor. The recorded spontaneous movements were quantified using 4 movement indexes (velocity, laterality index, jerk index, and kurtosis of acceleration). The results were calculated from three-dimensional trajectories of the arms.

Results: Velocity, jerk index, and kurtosis of acceleration showed no significant differences between the groups with and without the pillow. The laterality index was higher in the ELBW infants than in the term infants without a pillow, but no significant difference was found between the groups with a pillow.

Conclusion: Our results suggest that spontaneous movements of ELBW infants are more asymmetrical than those of term infants. Use of an infant pillow can improve the asymmetrical movements of ELBW infants.

Purpose: The purpose of this survey was to investigate the factors related to readmission after discharge for recurrence of congestive heart failure among patients who had undergone cardiac rehabilitation during hospitalization.

Methods: We enrolled 207 patients who were discharged home after readmission for recurrence of heart failure. As survey items, laboratory parameters, walking ability, and use of a nursing care insurance service were examined in terms of readmission. We also investigated the cause of exacerbation of heart failure.

Results: On multivariate logistic regression analysis, ischemic heart disease, walking ability recovery rate, and utilization rate of a nursing care insurance service were found to affect readmission. Further, heart failure was exacerbated by over-exertion and salt and water overdose, such as strict oral default, due to the self-management shortage in daily life accounted for about half.

Conclusions: It was suggested that underlying ischemia, a high walking ability recovery rate at discharge, and non-use of a nursing care insurance service were predictors of readmission.

Purpose: The aim of this study was to examine predictive factors connected with the home discharge of psychiatric inpatients.

Methods: This study included 108 inpatients with schizophrenia or mood disorder, who had undergone physical therapy (PT) between January 2012 and June 2016. We retrospectively studied the factors from the medical records and compared these between the two groups. Next, we analyzed the differences between factors using multiple logistic regression analysis.

Results: Factors associated with psychiatric inpatients’ home discharge indicated by the multiple logistic regression analysis were “place of residence before physical disease onset” [p<0.001, odds ratio (OR) 6.12, 95% confidence interval (CI) 2.30-16.26]; “Barthel Index (BI) score at the time of PT end ≧ 65 points” (p=0.001, OR 5.37, 95% CI 1.93-14.95); “Global Assessment of Functioning (GAF) score at the time of PT end ≧51 points” (p=0.03, OR 3.68, 95% CI 1.13-12.02); and “presence of the primary caregiver” (p=0.03, OR 2.98, 95% CI 1.09-2.98).

Conclusions: Place of residence before physical disease onset, higher BI score at the end of PT, higher GAF score at end of PT, and presence of the primary caregiver might be the factors associated with psychiatric inpatients’ home discharge.

Purpose: The purpose of this study was to determine the primary emotion of anger that managers experience in clinical guidance situations and thus to clarify how personality traits are related to anger arousal.

Method: We conducted a self-report questionnaire with items on basic attributes, personality traits, and angry emotional responses. The participants were 22 male physiotherapists in managerial positions, of ages ranging between 30 and 54 (mean age = 40.4). We extracted the primary emotion of anger based on 12 optional words. To test for correlations, we used Spearman’s rank correlation coefficient.

Results: The guidance situation that was cited most often (cited by 21 participants) as an anger-inducing setting was “instructing juniors.” The primary emotions of anger that were cited most often were “feeling troubled” and “feeling worried.” Regarding correlations between personality traits and angry emotions, we observed significant correlations between extroversion and hostility (r = –0.46), cooperativeness and anger arousal (r = 0.52), and self-esteem and anger arousal (r = –0.49).

Conclusion: “Feeling troubled” is a frequent primary emotion of the anger that managers experience in guidance situations. The results also suggest that instructors who are cooperative, not hard-working, and who have low self-esteem get angry more easily.