Through activities targeting nutrition improvement and exercise programs, a three-month intervention was conducted for nine users of fee-based assisted living homes for the older people in Kanagawa Prefecture with an Alb level of <3.8g/dl. Interdisciplinary intervention approaches were provided through multi-professional collaboration, while holding monthly case conferences and study meetings. The users’ attributes, nutritional status, motor functions, and QOL (SF-8) were evaluated at baseline and Month 3. During the study period, physical deconditioning occurred in 3 users, consequently reducing the mean Alb level. The Alb levels and dietary intake of users with a favorable physical condition were maintained/ increased, while the values of those with a poor physical condition decreased (decreased Alb group). The former’s BMI was also maintained/ improved, and total Locomo-25 score and FR tended to be maintained /improved. Mental Component Summary (MCS) scores representing the QOL showed a particularly marked tendency to improve after intervention, and such an improvement was also observed in the decreased Alb group. Season-related physical deconditioning is likely to have been the leading cause of the decrease in the mean Alb level during intervention. The nutritional status of all users, excluding those with a poor physical condition, improved after intervention. The usefulness of the BMI as a nutritional index was also confirmed. As for motor functions, the users’ Locomo-25 scores as an index of a reduced walking ability due to motor dysfunction tended to improve. Improvements in the QOL associated with mental factors were also observed in the decreased Alb group. The results support the effectiveness of the interdisciplinary intervention approaches integrating narrative elements provided through multi-professional collaboration.
Many of the children with comprehensive educational needs (Inclusive Needs Child: IN-Child) have the needs that listening ability. In this study, in order to examine the teaching method to improve the ability to listen to IN - Child, we analyzed the influence of characteristics similar to attention deficit/ hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) on listening ability. As the results, it became clear that children with inattention or characteristics similar to ADHD have needs that “misunderstanding the story and fail to hear”, “difficulty to discussion” and “difficulty to listen simultaneous instruction”. In addition, it became clear that children with characteristics similar to ASD have needs that “mis listening the sounds” and “difficulty to discussion”. Based on the findings from this study, it is expected that teaching methods for IN-Child with characteristics similar to ADHD or ASD will be developed.
Patients with peripheral arterial disease (PAD) are strongly recommended to do supervised exercise. Evidence of home-based exercise therapy for PAD, however, is limited. The aim is to explore the effects of psychological factors on continuation of exercise at home and exercise capacity in patients with symptomatic PAD.
The study subjects were six patients with symptomatic PAD (Fontaine classification Ⅱ degree, three men, average age 75.5 ± 3.0 years old). At baseline, a treadmill exercise test using the modified Skinner–Gardner protocol was done to measure asymptomatic walking time (AWT) and maximum walking time (MWT), and subjective well-being inventory (SUBI) and health locus of control (HLC) were assessed to evaluate psychological factors. After teaching interval walk program, all the patients were advised to do home-based exercise at least four days a week for one month. All the measurements repeated after the home based exercise program for a month.
AWT and MWT at baseline were 566 ±476 sec and 684 ±397 sec, respectively. sense of health and fatigue level of SUBI were 44.3 ± 8.4 points and 51.8 ± 6.31, respectively. HLC internal factor and HLC external factor were 24.3 ± 0.9 points and 61.5, respectively. There was a significant correlation between delta MWT and HLC external factor (r=0.883, p <0.05) even after age-adjusted partial correlation analysis, but not with HLC internal factor.
In conclusion, involvement of multiple external factors such as support of family members, friends, and medical stuffs may be a key to increase MWT in patients with PAD.
Han, Numadate & Goya (2018) has developed Scale for Coordinate Contiguous Career (Scale C3) for the evaluation and support for adolescents and adults after compulsory education. In this research, we aim to verify the content validity of Scale C3. In order to verify the content validity, a questionnaire survey was conducted for high school, university and company career education personnel. As a result of expert survey, all experts responded that Scale C3 area is valid. And regarding the item of Scale C3, 90% of experts responded that 92 items out of 100 items are valid. Based on the results of this survey, eight items that 80% of experts did not respond that they are valid were excluded from Scale C3. The final draft of Scale C3 was composed of 92 items in 16 areas. As future research, it is necessary to collect data using the draft prepared in this research to verify the reliability and the validity of the composition concept.
IN-Child Record was developed as a tool to diagnose children who need inclusive education, and has a total of 82 items in fourteen domains. By analyzing teaching practices in scholarly treatise, in fourteen domains of IN-Child Record. This study aimed to typifying teaching methods which doing educational site for IN-Child similar to Specific Leaning Disorder.
As a result, Three Necessity revealed as teaching methods for IN-Child similar to Specific Leaning Disorder.
①When conducting learning guidance, it is necessary to consider IN-Child's stress,
②It is necessary to prepare special teaching materials (less kanji etc.) and support reading of the entire class not limited to IN-Child. In addition, if it is still difficult to solve, it is necessary to rely on specialized agencies (speech-language-hearing therapist etc.),
③While doing step-by-step education on learning, it is necessary to create an environment that allows teachers and surrounding friends to ask to things IN-Child do not understand, and to reduce the burden on mental aspects.
To examine the effect of watching favorite DVD (Digital Versatile Disc) during exercise on exercise economy and autonomic nervous function, we performed a pilot study in three healthy adults to undergo cardiopulmonary exercise test (CPX) with/without watching favorite DVD in a crossover design. Serial changes in plasma levels of noradrenaline and lactic acid were also assessed at rest, at maximum load, and at 20 min recovery. Systolic blood pressure (mmHg), heart rate (bpm) and exercise workload (watt) at each metabolic equivalents (Mets) (2 to 7 Mets) were serially measured and compared in each session. Workload at each Mets in DVD session tended to be higher than non-DVD session. Maximum difference in workload between the two sessions increased by 11 Watt at 5 Mets exercise. The workload at peak Mets, however, was identical in the both sessions. Heart rate at each Mets were very similar in the both sessions. Systolic blood pressure at each Mets in DVD-session were slightly higher than non-DVD session during exercise. The levels of lactic acid and noradrenalin showed similar pattern in the both sessions. In conclusion, watching favorite DVD may affect exercise economy in low to middle intensity exercise.