PURPOSE: The purpose of this retrospective study was to determine the effects of resistance training (RT) on myocardial infarction (MI) patients in phase II cardiac rehabilitation (CR) in our hospital.
METHODS: Twenty two outpatients who had participated in the phase II CR program more than three months at least were enrolled in this study. They were divided into control group (n＝8) and RT group (n＝14). We examined changes in the exercise capacity of these two groups. The traditional exercise programs which included aerobics and muscle strength exercise were run on the control group. Changes in exercise load for target heart rate measured with a bicycle ergometer as an indicator of exercise capacity were assessed in each patient 1,3 and 5 months after AMI onset.
RESULTS: The amounts of load and target heart rates recorded 1 month after the onset were not significantly different between the two groups. After 3,5 months of CR, the RT group showed no changes in the target heart rate but significant increase of the amount of load. The control group showed no change in the amount of load and target heart rate. In the amount of each load 3 and 5 months after, the RT group was significantly out did the control group.
CONCLUSIONS: These results suggested that RT was useful in the improvement of exercise capacity for patients with MI who participated in the phase II CR program provided by our hospital.

Abstract
Objective : In this study, we conducted a survey on both the use of supplements by customers and information provided by pharmacists, to clarify customer understanding. We also sought to ascertain the actual current state of information provided by pharmacists to customers, as well as investigating both how, and to what extent, pharmacists should be involved in customers 'use of supplements.
Methodology : During regular pharmacy visits, pharmacists used a questionnaire to interview 1,253 customers, in 14 community pharmacies, in Tokyo and Hokkaido, respectively. A different questionnaire, designed for pharmacists, was also given to 289 pharmacists who were either working in those same pharmacies, or who attended the Conference on Pharmaceutical Sciences in Hokkaido (2011, Sapporo).
Results : The results of the survey showed that approximately 50％ of consumers greatly desired the provision of safety and efficacy information about supplements by pharmacists. However, few pharmacists answered customers' questions satisfactorily (only 7.3％ of total responses).
 The results also indicated that only 30％ of pharmacists actively gathered information about supplements, despite the fact that 67.5％ of pharmacists were aware that they were expected to do so by customers, in their roles as primary information providers regarding such treatments. Furthermore, even those pharmacists who checked information regarding supplements depended mostly on information acquired from the Internet.
Conclusion : There is a large gap between customers' expectations for explanation of supplements and the reality of such explanations, and the information actually provided by pharmacists. In order to live up to their customers' expectations, pharmacists should foster both wider dissemination and better understanding of evidence-based information about supplements. Pharmacists should also provide integrated management of drugs and supplements for patients.

Purpose: This study aimed to clarify the factors contributing to nurses’ attitudes toward terminal care in palliative care units (PCUs). Methods: We conducted a cross-sectional study of nurses in PCUs across Japan using an anonymous self-administered questionnaire, which was mailed to 103 ward managers and 1,671 nurses in PCUs to collect data about nurses’ sociodemographic characteristics. Their attitudes towards terminal care were assessed using the Frommelt Attitudes Toward Care of the Dying Scale Form B (Japanese version). Multiple regression analyses were used to identify the factors associated with attitudes towards terminal care. Results: After excluding missing data, valid responses were obtained from 93 ward managers and 1,112 nurses (response rates of 90.3% and 66.5%, respectively). Based on multivariate analyses, the subdivisions of “positivity of nurses’ attitudes toward terminal care” and “high recognition of the patient- and family-centered care” were associated with working in PCUs voluntarily (β=0.159, β=0.131, p<0.01). The former subdivision was associated with ten personal factors, including “experience as a nurse in a PCU” (β=0.125, p<0.01), “having a certification of End-of-Life Nursing Education Consortium Japan version Core Curriculum” (β=0.065, p<0.05). The latter subdivision was associated with four factors enhancing the PCU environment including “support for creative activities of patients and their families” (β=0.114, p<0.01). Conclusion: This study has suggested that gaining the experience at PCUs with multidisciplinary members on a basic palliative care education, a supportive specialized palliative nursing education, and expanding care system in PCUs are important for the positivity of nurses’ attitudes toward terminal care.