1.Interprofessional education at a university without a medical department:
Medical Education 2014;45(3):145-152
In this paper, we report on the process by which Saitama Medical School, the medical department of Saitama Prefectural University, which also has departments of nursing, physiotherapy, occupational therapy, child and social welfare, and health science, realized interprofessional (IP) practice by interuniversity cooperation and report on the results of that process. For the realization of IP education (IPE) through interuniversity cooperation, university presidents’ must share their recognition of the mutual benefits and importance of IPE, and the teaching staff must work together towards a common goal. The benefits of locally based IPE (IP practice) of Saitama Prefectural University were that medical students became more aware of their role as caregivers for the entirety of their patients’ lives and that students of other departments were able to participate in IP work with medical students as part of their undergraduate education, to form partnerships with physicians, and to clarify the special nature of their occupations.
4.Experimental studies on the alteration of NPN (non-protein nitrogen) with cold.
Hitsunori AIHARA ; Mariko AIHARA
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 1988;51(2):97-105
Experiments to determine the relationship between the exposure time following death from cold and the amount of residual NPN in blood and organs.
Sixty rabbits weighing about 2500 grams were used in these experiments. Their whole bodies except the head and face were immersed in water at a temperature of 2 to 10°C and fastened by tight binding. Their rectal temperatures were measured five minutes apart using a thermocouple thermometer. The measured amount of residual NPN in tissues and blood with each experiment group by the Kjeldahl method after the death are as follows:
1) The amount of residual NPN in organs and blood differed depnding on aggressiveness and the length of time until death.
2) When the length of time until death was relatively short, the amount of NPN in organs decreased and that in blood increased.
3) When the length of time until death was relatively long, the amount of NPN inorgans increased extremely and that in blood also increased.
4) The amount of residual NPN in organs and blood starts to change at the initial stage of aggression.
5.A case of atopic dermatitis with improved symptoms by moxibustion treatment to the affected area
Journal of the Japan Society of Acupuncture and Moxibustion 2011;61(4):425-428
[Objective]This report is a case where Chinetsu moxibustion treatment (feeling heat but non-scarring moxibustion) improved atopic dermatitis symptoms;despite the internal application of antihistamines and external application of topical steroids. Prolonged damp erythema and scars were caused by scratching during sleep.
[Method]The patient received Chinetsu moxibustion to the affected area (left popliteal fossa and both hands) once every 2 weeks over an 11 month period, totaling 25 treatment sessions.
[Results]The scars by scratching during sleep were reduced from the day after the first moxibustion. After one month of treatment, the symptom level of the patient's left popliteal fossa changed from "moderate"to "slight". For her hands, the symptom level improved from "moderate"to "slight"after 9 months. As a result, her doctor halved the amount of internal medicine and switched topical steroids to moisturizer only for external treatment. The patient's skin condition continued to be good after 11 months, so treatments by moxibustion and internal medication were terminated.
[Conclusion]It is suggested that Chinetsu moxibustion treatment may be effective for preventing scratching behavior during sleep, and therefore may complement dermatologic treatment for atopic dermatitis.
8.7. The Employment Landscape and Challenges Facing Healthcare Professionals with Hearing Impairments
Medical Education 2024;55(2):146-152
Following the amendment of the Exclusionary Clause, there has been an increase in the number of healthcare professionals with hearing impairments actively contributing in various fields, although the total count remains unclear. Drawing from experiences and inquiries received by the Japan Network of Deaf and Hard of Hearing Medical Professionals, this paper examines the current status and challenges faced by these individuals. The work environment for healthcare professionals with hearing impairments is not adequately established, largely relying on individual efforts and trial and error within workplaces. The enrollment of individuals with hearing impairments in higher education institutions aiming for healthcare qualifications remains limited, with educators and mentors often having limited experience in collaborating with individuals with hearing impairments, indicating a lack of understanding. Barriers to training and career advancement persist even after graduation from higher education institutions. The presence of hearing-impaired healthcare workers is significant to provide medical services to a diverse population. There is a need for the use of text and sign language interpreters, as well as the development of information sharing and support systems, to create a better working environment that accounts for communication needs.
9.Relationship between type A behavior patterns and risk of temporomandibulardisorder in Japanese undergraduate students
Hiroki Ohmi ; Mariko Kato ; Martin Meadows
Journal of Rural Medicine 2016;11(2):77-80
Objective: Several studies have demonstrated the relationship betweentemporomandibular disorder (TMD) and emotional stress. Nonetheless, few surveys haveexamined the relationship between type A behavior patterns and TMD. The aim of this studywas to clarify the relationships among TMD, type A behavior patterns, bruxism, andemotional stress in Japanese undergraduate students.
Methods: This study was undertaken in Nayoro City, Japan, in 2015, amongstudents of Nayoro City University. The survey was conducted through an anonymous,self-administered, multiple-choice questionnaire. Information was gathered on itemsevaluating the extent of TMD symptoms, bruxism, type A behavior patterns, and pronenessand sensitivity to emotional stress.
Results: The questionnaire recovery rate was 31.8% (175/551). There was ahigh likelihood of TMD in 16.1% of respondents, which is comparable to the findings ofprevious surveys on Japanese high school students. In keeping with previous studies, weconfirmed significant relationships between TMD and both emotional stress and bruxism. Aweak but statistically significant association was found between TMD and type A behaviorpatterns.
Conclusion: We propose that TMD may be one of the diseases related to thetype A behavior pattern.
10.When Mothers Get Sick: Child Care and Housework Difficulties Experienced by Fathers during Their Wife’s Cancer Treatment
Ryouko Nakajima ; Mariko Kobayashi ; Miyako Takahashi
Palliative Care Research 2017;12(1):125-130
Purpose and method: The aim of this study was to explore the child-care and housework difficulties experienced by fathers during their wife’s cancer treatment. 7 men who had 0 to 15-year-old children when their wife was diagnosed with cancer were interviewed using a semi-structured interview format. Main results: Subjects’ report of their difficulties was assessed using the following 3 categories: 1) burden of housework 2) stress from life together with the in-laws 3) contact with schools and nurseries. The influence of background factors was considered: a) experience of housework in the family prior to his wife’s illness; b) experience of living with in-laws; c) degree of cooperation with their parents; d) degree of trust in their relationship with their in-laws; e) child’s/children’s age; f) availability of childcare resources; and g) assistance prepared by their wife. Providing information on child care and housework support or opportunities for exchanging information with other husbands in similar situations can be considered valid forms of assistance for fathers whose background factors may predispose them to a greater degree of hardship in child care and housework during their wife’s illness.