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Effect of Comprehensive Geriatric Training for The Long-term Care Insurance user.
Get PDFComprehensive geriatric training (CGT) is training devised for the elderly persons which uses exercise therapy together with instrumental training. The comprehensive geriatric training was provided to a Long-term Care Insurance user group in order to evaluate the effect of the training. The subjects of the training include 12 Long-term Care Insurance users (mean 80.9 age, SD 7.6 years). Physical strength examinations were made before and after the training and their results were used to evaluate the effect of the training. The items of the physical strength examination consisted of Functional reach, Timed of up and go test, One leg standing time, Grasp power, Knee extension strength, Lower extremities reaction time. The training was provided for three months which were divided into a conditioning stage, a muscle strengthening stage and functional training stage. Statistical analysis was performed based on student's t test of the items of the physical strength examinations before and after the training at the 2 groups The Long-term Care Insurance users significantly improved (p<0.05) in Timed of up and go test and knee extension strength. Therefore, it is suggested that comprehensive geriatric training (CGT) for three months is a Long-term Care Insurance users.departmental bulletin pape
Qualitative and Quantitative Analyses on "Greetings" Exchanged by Japanese Doctors and Patients in Metical Interviews
Get PDFThe study aims to analyze the interactional verbal and non-verbal behaviors between doctors and patients in medical interviews, focusing on the exchange of "greetings" at the opening of each interview. The conversational data of medical interviews were recorded in Tokyo and Osaka, consisting of 91 interviews by male doctors and 3 interviews by female doctors. There were 36 male patients (14 in Tokyo and 22 in Osaka) and 58 female patients (31 in Tokyo and 27 in Osaka). The average age of the patients was 63.8. All of the patients had repeatedly consulted their doctors prior to recording. The results show as follows ; 1) it is significant that at the opening of the interview, the patients utter more "greetings" with tones of "gentle laughter" in their voices comparing to the doctors, 2) no significant regional difference is found in terms of "greetings" made by the doctors in Tokyo and Osaka, 3) no significant gender-based difference is found in terms of "greetings" made by male and female patients, 4) it seems marked that the doctors in Tokyo start their interviews abruptly without exchanging "greetings". Several useful tips are considered for the realization of a more humanistic and reliable doctor-patient relationship.departmental bulletin pape
Poetic Creation as a Cure and Relief : The Mind's Abyss of William Cowper (1731-1800)
Get PDFThe present paper aims to investigate into the psychological process of poetic creativity with reference to the English poet William Cowper (1731-1800) who suffered from chronic melancholy and underwent at least five mental breakdowns in 1753, 1763, 1773, 1787 and 1794. It is in a way a modest attempt at pathography. The paper consists of three sections: (1) an analysis of the poet's own Memoir (unpublished during his lifetime) in which he traces the history of his first and, with greater emphasis, his second and more serious breakdown of 1763 leading to his attempted suicide, and shows how he recovered from it after having experienced an Evangelical conversion ; (2) an account of his secluded life from 1764 to 1780, which was built on a perilous balance between multifarious elements such as his faith in Evangelicalism as inculcated by his rigorous mentor Rev. John Newton, his spiritual and asexual relationship with Mrs. Mary Unwin, and his short-lived friendship with Lady Austen who inspired him with a motive for writing poetry ; and (3) a discussion of some important aspects of his masterpiece The Task, e. g., the ways in which he observed Nature in the countryside and rendered into poetry what he observed. From these analyses and discussions will emerge a thesis that Cowper composed his poetry in the middle of his chronic melancholy or despite it, that he needed to do so to relieve it, that his act of writing poetry, in fact, proved to be conducive to this purpose, and that melancholy, agonising though it was to him, in a sense contributed to making him a poet.departmental bulletin pape
Cardiac Autonomic Nervous Activity Interaction under Mental Stress : A Study Using the Corrected Heart Rate Variability Indexes
Get PDFThe purposes of this study are to evaluate the effect of the posture and the respiratory rate on the heart rate variability (HRV) indexes during sitting (ExperimentI), and to assesss the effect of mental stress on cardiac autonomic nervous activity by using the corrected HRV indexes (ExperimentII). Since the effect of respiratory rate that had kept influencing the HRV indexes during sitting was the same in the supine posture, the HRV correction formula by respiratory rate in the supine posture were found possible to use to correct of the HRV indexes, even in sitting as well. The mental stress was carried out by body contacts with others, and its effect was evaluated at the corrected HRV indexes in sitting. As a result, the mental stress decreased the heart rate and increased the corrected HF, representing that mental stress causes the increase of the cardiac parasympathetic nervous activity.departmental bulletin pape
Oriental Medicine and Art Therapy : The Relationship between five-color theory and five parenchematous viscera function
Get PDFOur purpose is to evaluate the contribution of oriental medicine to art therapy by paying close attention to the theory of five colors (blue, red, yellow, white and black) in conjunction with the theory of five parenchematous viscera functions (liver, heart, spleen, lung and kidney), which is thought to reflect underlying five elements (wood, fire, earth, metal and water). Questionnaires were distributed to 160 young paramedical students who had no special knowledge of oriental medicine nor the five-color theory. Subjects' favors or disfavors of five colors (blue, red, yellow, white and black) were compared with his viscera condition determined by Meiji oriental score (MOS) which classifies it by analyzing six representative clinical symptoms of the five viscera theory. Chi-square test among the favorite or disfavorite colors and the viscera conditions revealed a statistically significant relationship between the favorite blue color group (69 out of 160 students) and the liver group (55 out of 160 students) by MOS. These results suggest that one's favor or disfavor of colors possibly reflects one's internal viscera condition and that the five-color theory based on oriental medicine would be applicable to art therapy.departmental bulletin pape
