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Kawai A.,Social Medical Corporation
Nihon rinsho. Japanese journal of clinical medicine | Year: 2013

The combination therapy of counseling and medication is very important in smoking cessation treatment. Motivational interviewing (MI) and cognitive behavior therapy (CBT) are interventions recommended in two well-recognized guidelines for smoking cessation in the United States. MI is effective for those who do not want to quit smoking; CBT for those who cannot but want to quit smoking, those who repeatedly quit and re-smoke, those who are depressed, and women who are concerned about their weight. However, neither MI nor CBT for smoking cessation is widely practiced in Japan. We describe the nature of, evidence for, and practice of MI and CBT in smoking cessation treatment, hopeful that clinicians and other healthcare staff learn and apply these techniques.


Ozawa T.,Osaka University | Furusho J.,Social Medical Corporation | Kikuchi T.,Social Medical Corporation | Akai H.,Social Medical Corporation | And 5 more authors.
Nihon Kikai Gakkai Ronbunshu, C Hen/Transactions of the Japan Society of Mechanical Engineers, Part C | Year: 2010

We have developed a rehabilitation system for upper limbs, "PLEMO-P3", which utilizes ER brakes as torque generators and is one of the passive haptic devices. To detect abnormalities of patients, we developed a new sensing device and installed it on the grip of the PLEMO-P3. In this paper, we compare several kinds of information from the sensor system (grasping force, reaction force against a working plane, range of a wrist) and traditional assessment of stroke (BRS, FMA and STEF). We establish effective assessment and training methods with PLEMO-P3 system. We could found effect of training and strong correlation between them. We suggest a training method with PLEMO system depending on the results of clinical assessment. It was shown to be able to confirm the correlation of reaction force for working plane and wrist joint range of motion, and to detect synergy movement only with the wrist joint range of motion sensor. This correlation has been understood that it will equip it only with the wrist joint range of motion sensor, in practical use machine (PLEMO-P4).

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