1.A STUDY OF THE PROCESS OF IMPROVEMENT IN ARCHERY
KOICHIRO HAYASHI ; KENICHI TABUCHI ; TAKESHI YABUKI ; KIICHI SEKINE ; SHINTARO TACHIBANA ; KOZO NAKAMURA
Japanese Journal of Physical Fitness and Sports Medicine 1976;25(2):85-89
The form and electromyographic pattern of archery shooting were compared between experts and amatures. Using methods are electromyography, photography and X-ray photography.
In the expert group, the shoulder joint of the pushing arm is in neutral position of rotation and the forearm is in supinated position. In the amature group the shoulder joint is in externally rotated and forearm is pronated. The delta muscle provides more powerful abduction of the shoulder in neutral position of rotation.
The different discharge pattern of shoulder girdle muscles between two groups suggests that fixation of the bow is essentially important from release to follow-through.
2.Influence of the shoulder laxity on the shoulder lesion in several kinds of sports.
HIROKO NOMA ; YUKINORI TOMODA ; YOSHIHISA URITA ; TORU FUKUBAYASHI ; SHIGERU HARADA ; KENICHI TABUCHI
Japanese Journal of Physical Fitness and Sports Medicine 1986;35(2):93-103
The laxity of shoulder is one of main factors affecting shoulder lesions in athletes.
To measure the anterior-posterior laxity of shoulder, a stress machine was arranged because the ordinary rentogenographic measurement is not suitable. The measurement of the anterior-posterior laxity was done with athletes in several kinds of sports in which shoulder joints are mainly used. The result was compared with those from clinical examinations and stress rentogenography. Conclusions :
1. The anterior-posterior displacements of the affected side in baseball, volleyball and javelin players were significantly larger than that of the control side.
2. For the anterior-posterior displacement of the shoulder joint, baseball, volleyball and javelin players showed significantly larger values than truck runners as the control whereas significantly smaller values were found in water polo players.
3. There was no correlation between the anterior-posterior laxity and the inferior laxity.
3.Efforts and Challenges in Implementing an In-Hospital Rapid Response System at Our Hospital
Toru MIZUMOTO ; Sadahiro KUBO ; Akihiko TABUCHI ; Satoshi TERANISHI ; Akiko TANIGUCHI ; Makoto SUGIURA ; Shinji ISHIKAWA ; Shinya YAMADA ; Mami SUZUKI ; Satomi SAEKI ; Kanoko HAMAISHI ; Kenichi YAMADA ; Yasuhiko HOSONO ; Megumi YOSHINAGA ; Masahito WATARAI
Journal of the Japanese Association of Rural Medicine 2025;73(5):425-433
Even within a hospital, the prognosis after a cardiac arrest is extremely poor if intervention starts only after the event; thus, early recognition and intervention is crucial to reduce inhospital cardiac arrests. This paper aims to assess the results of in-clinic surveys conducted for the implementation of the Rapid Response System (RRS) at our hospital and changes in awareness after awareness initiatives. Excluding the neonatal intensive care unit, all wards were targeted for implementation, with the creation of criteria for requesting the RRS and hospital-wide awareness initiatives. Four items were defined for the request criteria—namely, (1) respiration, (2) circulation, (3) state of consciousness, and (4) others (any concerns)—with a request being warranted if any one of these criteria was met. A pre-awareness survey revealed that respiratory rates were recorded only 6.9% of the time on average, indicating inadequate observation of respiratory rates across all wards. In response to this issue, we announced that respiratory status should be observed at least once a day, which resulted in the recording rate improving to 68.2% after 2 months. Survey results before and after the awareness initiatives among doctors and nurses showed a significant increase in RRS awareness. The percentage of nurses who answered “well aware” or “somewhat aware” increased from 34.8% to 77.6%, and from 63.4% to 88.0% among doctors. However, while the introduction of the RRS was relatively well-received by nurses struggling with on-site responses, some doctors questioned the necessity of the RRS. Upon implementation, it is important to make it known that it is a hospital-wide effort. Simplifying and thoroughly utilizing the request criteria can lead to early recognition of abnormalities. Since it is not easy to gain doctors’ understanding, it is necessary to listen to the needs and requests of each department and patiently continue awareness activities before implementation