Tani S.,University of Hyogo |
Marukami T.,University of Hyogo |
Matsuda A.,University of Hyogo |
Shindo A.,Hyogo Prefectural Amagasaki Hospital |
And 2 more authors.
Journal of Medical Systems | Year: 2010
Recently, a patient with diabetes mellitus (DM) type 2 has been increasing in Japan. The patient should be managed not only by a specialist but also by himself focusing his attention on the improvement of his lifestyle at home. In the present study, we tried to develop a health management support system by which a diabetic patient in early stage can easily enter his daily life information, i.e. the biological information such as the data of blood sugar levels and blood pressure levels etc., the information of exercise and diet and send the information to the medical institution with a personal digital assistant (PDA). Afterwards, the patient can receive health instruction information by the physician in charge for self-care at his home with a PDA. The daily life information sent from the patient is stored in a server installed at the medical institution and analyzed. The physician can obtain the results of analysis by using a PC and send the instruction information necessary for patient management to the patient at home by using e-mail after diagnosing the patient's condition by the system. To evaluate usability of the developed patient information input system with a PDA, an experiment was conducted by corporation of 20 volunteers who were possible self management and whose age's range from20s to 60s by questionnaire survey. As a result, almost examinees answered that lifestyle information could be easily entered by the sense like a mobile-phone and lots of positive opinions were obtained. © Springer Science + Business Media, LLC 2009.
Takaki J.,Okayama University of Science |
Minoura A.,Okayama University of Science |
Irimajiri H.,Kanazawa University |
Hayama A.,Kanazawa University |
And 4 more authors.
Journal of Occupational Health | Year: 2010
Interactive Effects of Job Stress and Body Mass Index on Over-eating: Jiro TAKAKI, et al. Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences-Objectives: Recent prospective evidence drawn from the Whitehall II cohort reported by Kivimäki et al. implies that stressful situations are related to decreased body weight in thin men and increased body weight in obese men, whereas no corresponding interactive effects are observed in women. The mechanism underlying this phenomenon remains unknown, and the purpose of this study was to confirm our hypothesis that the relevant mechanism is behavioral (e.g., over-eating). Methods: The subjects of this survey were 607 Japanese workers (response rate: 60.5%) in four organizations. The questionnaire solicited demographic information and included the Bulimia scale of the Eating Disorder Inventory-EZ to measure tendencies toward over-eating as well as the Japanese version of the Effort-Reward Imbalance Questionnaire (ERIQ). Body mass index (BMI) was calculated on the basis of data obtained during medical check-ups. We tested for linear and interactive effects with hierarchical regression analyses. Results: BMI was significantly (p<0.05) associated with over-eating both univariately and after adjusting for age in both sexes. Significant (p<0.05) interactions showed that ERIQ effort scores and effort-reward ratios were more positively associated with over-eating in men with higher BMIs, and ERIQ reward and financial remuneration scores were more negatively associated with over-eating in men with higher BMIs. No corresponding interactive effects were observed among women. Conclusions: The results demonstrate that stressful situations are more associated with over-eating in men with higher BMIs. This might explain, in part, the mechanism underpinning the interactive effects proposed by Kivimäki et al.
Shimizu F.,Senri Kinran University |
Shimizu F.,Kyoto University |
Katsuda H.,University of KinDAI Himeji |
Katsuda H.,Gifu College of Nursing
Japan Journal of Nursing Science | Year: 2014
Aim: This study explored special education teachers' perceptions of the role of nurses who specialize in providing nursing care to children who are technology-dependent in mainstream schools. Methods: Semistructured interviews with 11 teachers were conducted, and data were analyzed using inductive content analysis. Results: The teachers surveyed thought that the most important role of nurses was to maintain good health and safety, as well as to support children's education as members of the educational team. Teachers desired that nurses give advice based on their professional knowledge to maintain the children's good health and safety. In supporting education, nurses were required to support the children's autonomy and education, and to act as members of the educational team. Conclusion: Study findings suggest that, for an optimal relationship with teachers, nurses who provide nursing care for children who are technology-dependent in mainstream schools need not only fulfill medical functions, but also support the education of children as members of the educational team. © 2014 Japan Academy of Nursing Science.
Yui K.,Research Institute of Pervasive Developmental Disorders |
Yui K.,Sawa Hospital |
Koshiba M.,Tokyo University of Agriculture and Technology |
Nakamura S.,Tokyo University of Agriculture and Technology |
Onishi M.,University of KinDAI Himeji
Japanese Journal of Neuropsychopharmacology | Year: 2011
The polyunsaturated fatty acids (PUFAs), arachidonic acid (ARA) and docosahexaenoic acid (DHA) may play key roles in brain network maturation. ARA plays an important role in signal transduction related to neuronal maturation. This study aims to evaluate the efficacy of supplementing with larger doses of ARA added to DHA in a double-blind, placebo-controlled 16-week trial. To confirm findings observed in the placebo-controlled trial, an additional 16-week open-label study was further conducted. To examine the relationship between the efficacy of the supplementation regimen and alterations in PUFAs levels, we examined plasma levels of PUFAs. We used the Social Responsiveness Scale (SRS) and the Aberrant Behavior Checklist-Community (ABC) to estimate psychotic symptoms. Repeated measures ANOVA revealed that this supplementation significantly improved SRS-measured communication as well as ABC-measured social withdrawal during the placebo-controlled trial. The treatment effect sizes were more favorable for the treatment group compared with the placebo group (communication: 0.87 vs. 0.44; social withdrawal: 0.88 vs. 0.54). At the end of the placebo-controlled trial, there was a significant difference in the change in plasma ARA levels from the baseline and a trend towards a significant difference in plasma ARA levels between the two groups. The open-label study was not powered to detect significant improvements in the outcome measures or significant differences in plasma ARA levels. The present clinical trials suggest that supplementation with larger ARA doses added to DHA improves social impairment in individuals with ASD via ARA-induced upregulation of neuronal functioning.
Morisakiu N.,University of KinDAI Himeji |
Miura H.,Japan National Institute of Public Health |
Hara S.,Kyushu University of Health and Welfare
Japanese Journal of Geriatrics | Year: 2015
Aim: We herein examined the relationship between the nutritional status and the oral function among community-dwelling dependent elderly persons. Methods: The subjects included 218 community-dwelling dependent elderly persons. The data were collected via questionnaires, including information regarding age, sex, the level of care required, nutritional status and swallowing function. We used the Mini Nutritional Assessment-Short Form (MNA-SF) to measure the nutritional status and the Dysphagia Risk Assessment for the Community-dwelling Elderly (DRACE) to evaluate the swallowing function. The tongue pressure and the labial closure force were measured using a tongue pressure measurement system (JMS Co. Ltd., Hiroshima, Japan) and the Lip de Cum (Cosmo-Instruments Co, Ltd, Tokyo, Japan). Results: The mean MNA-SF score was 10.07±2.58. The mean DRACE score was 4.39±3.80. The mean tongue pressure was 23.89±10.61 kPa. The mean labial closure force was 10.17±6.04 N. The results of bivariate regression analyses showed that there was a poor correlation between the MNA-SF and the DRACE, tongue pressure and labial closure force. Furthermore, the multiple regression analysis with the MNA-SF as the dependent variable revealed a correlation between the DRACE and labial closure force (p<0.01, R2 = 0.02). Conclusions: Our results suggest that the nutritional status is significantly related to the swallowing function and labial closure force among community-dwelling dependent elderly persons. © 2015, Japan Geriatrics Society. All rights reserved.
Takayama N.,University of KinDAI Himeji |
Amemiya T.,Kansai University |
Nishikawa K.,Kansai University |
Suzaki Y.,The Japanese Red Cross Kyushu International College of Nursing |
Ariyoshi H.,Saga University
Bridging Research and Good Practices towards Patient Welfare - Proceedings of the 4th International Conference on HealthCare Systems Ergonomics and Patient Safety, HEPS 2014 | Year: 2015
We conducted a survey to clarify the stress factors through eating behaviors and the lifestyle influencing adult workers’ obesity. We used the questionnaire by Tanbo and Inagaki (2009). The number of the subjects was 483 males and 119 females. The mean age was 32.9. The factors were exercise habit, stress control, health control, weight concern and leftover eating. The reliability values were above 0.63 respectively. These of seven scales with eating behavior and sleep were above 0.68 respectively (Takayama et al. 2012). DEBQ scales were used (Van Strien et al. 1986). BMI showed positive correlation with weight concern, eating of leftover, quick eating and high calorie food, showing negative correlation with eating between meals, dietary likes and dislikes and insomnia. Eating of leftover, quick eating and high calorie food were significantly high in male and eating between meals was significantly high in female. Restrained eating showed positive correlation with health control. © 2015 Taylor & Francis Group, London.
Marukami T.,University of Hyogo |
Tani S.,University of Hyogo |
Matsuda A.,Hyogo College of Medicine |
Takemoto K.,University of KinDAI Himeji |
And 2 more authors.
Journal of Medical Systems | Year: 2012
As computerization in the nursing field has been recently progressing, an electronic nursing record system is gradually introduced in the medical institution in Japan. Although it is expected for the electronic nursing record system to reduce the load of nursing work, the conventional keyboard operation is used for information input of the present electronic nursing record system and it has some problems concerning the input time and the operationability for common nurses who are unfamiliar with the computer operation. In the present study, we conducted a basic study on application of voice recognition input to an electronic nursing record system. The voice input is recently introduced to an electronic medical record system in a few clinics. However, so far the entered information cannot be processed because the information of the medical record must be entered as a free sentence. Therefore, we contrived a template for an electronic nursing record system and introduced it to the system for simple information entry and easy processing of the entered information in this study. Furthermore, an input experiment for evaluation of the voice input with the template was carried out by voluntary subjects for evaluation of the function as an input interface of an electronic nursing record system. The results of the experiment revealed that the input time by the voice input is obviously fast compared with that by the keyboard input and operationability of the voice input was superior to the keyboard input although all subjects had inexperience of the voice input. As a result, it was suggested our method, the voice input using the template made by us, might be useful for an input interface of an electronic nursing record system. © Springer Science+Business Media, LLC 2010.
PubMed | University of KinDAI Himeji
Type: Journal Article | Journal: Journal of transcultural nursing : official journal of the Transcultural Nursing Society | Year: 2012
The study examined the subjective life experiences of elderly first-generation Korean women living in Japan and investigated their adjustment to the local Japanese community.The study group comprised 14 elderly Korean women residents at a Korean-oriented, insurance-based, day services center in midwestern Japan. They were interviewed in depth, and the data were analyzed using the modified grounded theory approach.The study designated the core category as conservation of ethnic identity and identified five subcategories: (a) loneliness, (b) returning to ones homeland culture, (c) physical decline as a result of aging, (d) family ties, and (e) a place where one belongs.The results elucidated that although the participants had adapted to Japanese culture, they were strongly influenced by the memories of their hometowns and wished to return to their homeland.The study suggests that elderly immigrants need day care support that provides an environment where they can enjoy their culture.
PubMed | University of KinDAI Himeji
Type: Journal Article | Journal: Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics | Year: 2015
We herein examined the relationship between the nutritional status and the oral function among community-dwelling dependent elderly persons.The subjects included 218 community-dwelling dependent elderly persons. The data were collected via questionnaires, including information regarding age, sex, the level of care required, nutritional status and swallowing function. We used the Mini Nutritional Assessment-Short Form (MNA-SF) to measure the nutritional status and the Dysphagia Risk Assessment for the Community-dwelling Elderly (DRACE) to evaluate the swallowing function. The tongue pressure and the labial closure force were measured using a tongue pressure measurement system (JMS Co. Ltd., Hiroshima, Japan) and the Lip de Cum (Cosmo-Instruments Co, Ltd, Tokyo, Japan).The mean MNA-SF score was 10.072.58. The mean DRACE score was 4.393.80. The mean tongue pressure was 23.8910.61 kPa. The mean labial closure force was 10.176.04 N. The results of bivariate regression analyses showed that there was a poor correlation between the MNA-SF and the DRACE, tongue pressure and labial closure force. Furthermore, the multiple regression analysis with the MNA-SF as the dependent variable revealed a correlation between the DRACE and labial closure force (p<0.01, R(2)=0.02).Our results suggest that the nutritional status is significantly related to the swallowing function and labial closure force among community-dwelling dependent elderly persons.
PubMed | University of KinDAI Himeji
Type: Journal Article | Journal: Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics | Year: 2014
We examined the relationship between the swallowing function and the health-related QOL (quality of life) among community-dwelling dependent elderly persons.The subjects included 191 community-dwelling dependent elderly persons. Data were collected via questionnaires, including information regarding age, gender, the level of care required, post-cerebrovascular disease, the health-related QOL and the swallowing function. We used the SF-8 to measure the health-related QOL and the DRACE (Dysphagia Risk Assessment for the Community-dwelling Elderly) to evaluate the swallowing function.The average DRACE score was 4.293.81. In addition, the swallowing risk was found to be related to the SF (social functioning) and MH (mental health) subscales of the SF-8.Our results suggest that the swallowing function is significantly related to the health-related QOL among community-dwelling dependent elderly persons.