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Speech discrimination training in a patient with chronic Wernicke's aphasia: effect of monosyllabic and meaningful disyllabic word training on auditory comprehension
No full textP(論文)Two types of monosyllabic speech discrimination training and two types of meaningful disyllabic speech discrimination training were conducted in a man with chronic Wernicke's aphasia. The effects of training on speech discrimination ability and auditory comprehension were investigated. The patient was a 48-year-old, right-handed male who started training about 4 years after putaminal hemorrhage. The training comprised a daily home task for a total of about 4 months, and the training results were measured once a week by a speech, language hearing therapist. In the monosyllabic speech discrimination training, a significant increase was seen in speech discrimination ability both in training with and without using written characters. In the speech discrimination training with meaningful disyllabic words, a better effect of training was seen with a method using oral reading of Kanji characters compared with a method of listening to sounds and comparing them with written characters. In an investigation of the effect using a Test of Lexical Processing in Aphasia for auditory comprehension, no change was observed with monosyllabic speech discrimination training; however, a significant increase in the number of correct answers was observed with speech discrimination training using meaningful disyllabic words.departmental bulletin pape
The possibility of licensed care workers returning to the job site: an investigation of university graduate care workers
No full textP(論文)The subjects of the present study were certified care workers who had once been working as care workers but had left their jobs since. A total of 10 university graduates who completed a four-year care worker training program were administered a questionnaire survey. The reasons for leaving the job and views on work were obtained for nine subjects returning the survey. In the present study, we qualitatively investigated the problems usually faced by care workers on the basis of views obtained by conducting phone interviews of six of the nine subjects. The following six factors were identified as causes of care workers leaving their jobs: (1) working conditions, (2) salary, (3) terms of employment, (4) work satisfaction, (5) interpersonal relationships, and (6) private matters. Notable findings were that"low salary"and"employment conditions"were serious factors determining a worker's decision to continue care work. The present survey revealed that many certified care workers who graduated from the university continued to have a very high level of motivation toward care work even after leaving their job. It also revealed that building up a working environment to encourage a sense of purpose and to enable workers to take pride in their work is required.departmental bulletin pape
The comparative study on care workers' career path models: the positions of certified care worker on the grants for improvements of care workers' treatments
No full textP(論文)The government inaugurated a system in April 2010 in which grants for improvements of care workers' treatments are given to help cut the turnover rate at care workers. Its aim is to raise the monthly pay of care workers who fulfil certain requirements by 17,000 yen on average. Care homes using this system are required to show their care workers that they can have careers in that industry.In this paper, I will compare and consider various career path models and uncover a standard career path for care workers. However, some challenges still exist, such as lack of information on career paths themselves, people casting doubt on the continuity of the system, and a sense of unfairness between full- and non-full time care workers. It is argued that the formulation of career paths at care homes has not advanced as much as had been expected.departmental bulletin pape
Music therapy for elderly dementia using familiar music
No full textP(論文)The human life-span is increasing worldwide. During the 1970s, senior citizens comprised 7.1% of the population in Japan, and by 1994, they constituted 14% of the population. Life expectancy has risen to 79.19 years for men and 85.99 years for women. This extended lifespan of seniors brings with it an increased need for improvement in quality of life. One intervention that can be used to meet this need is long-term music therapy. The combination of singing and listening to "familiar music"or"reminiscent music"while utilizing social activity was explored in the context of an evidence- based medicine framework. A deep understanding of the elderly is important in order to determine the effects of the music therapy and their relationship with the life history of the patient.departmental bulletin pape
A study on care awareness for participants of care technique workshop
No full textP(論文)The present study investigated the effects of a workshop on care techniques that has been held since 2005 at our university. We conducted a care awareness survey by administering questionnaires to 39 participants before and after the workshop.Even though the workshop was only 32 h in duration, we found that it implemented following three effects in addition to the acquisition of care techniques: (1) enabling participants to reflect on and evaluate their usual care, (2) enabling understanding of the importance of fundamentals and their practice in actual settings, and (3) promoting awareness of care expertise.The chronic shortage of care personnel is a major social problem. The vast majority of care personnel are certified care workers with work experience who have aspirations to become certified care workers. While the present workshop may only have been one step on the way to becoming certified care workers for the participants, they considered it a meaningful experience.departmental bulletin pape
Analysis of protein constitution of Neurospora cultured in various calcium concentrations: comparison of calcium homeostasis of wild-type and defective mutant strain
No full textP(論文)アカパンカビ(Neurospora crassa)は培養液中のカルシウム濃度の変化により大きくその成長率が変わる.そのため培養中のカルシウム濃度が異なると,アカパンカビの細胞内の組成も変化すると考えられる.今回,培養中のカルシウム濃度がアカパンカビの細胞タンパク質の組成にどのような変化を与えるか調べた.その結果,野生株で細胞外カルシウム濃度に依存して量が変化する4種類のタンパク質の存在が明らかになった.カルシウムホメオスタシスに欠陥があり,高濃度カルシウム存在下では成長が抑制される突然変異株ca-1(19)を用い同様に調べた結果,低濃度カルシウムで培養したときにも2種類のタンパク質の量が増加していることが明らかになった.これら分子量91 と32 kDaの2つのタンパク質は,アカパンカビのカルシウムストレスを示すマーカータンパク質になる可能性がある.Because mycelial growth of filamentous fungus, Neurospora crassa, is dependent on the extracellular calcium concentration, calcium condition during the culture stage may affect the structural onstitution of Neurospora cell. In this study, we examined the effect of extracellular calcium concentration on the protein constitution of Neurospora cells, and found four proteins in wild-type strain which varied in quantity depending on extracellular calcium concentration. Two of four candidate proteins were highly expressed even at low extracellular calcium concentration in the case of defective mutant strain in calcium homeostasis, ca-1(19), which could not grow in high extracellular calcium concentration. These results suggest that two proteins of which molecular mass are 91 and 32 kDa are candidates for marker proteins of calcium stress in Neurospora cell.departmental bulletin pape
