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Search Results: 1 - 10 of 518 matches for " Hiroko Kukihara "
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Efficacy of mindfulness-based meditation therapy on the sense of coherence and mental health of nurses  [PDF]
Michiyo Ando, Takako Natsume, Hiroko Kukihara, Hiroko Shibata, Sayoko Ito
Health (Health) , 2011, DOI: 10.4236/health.2011.32022
Abstract: The primary goal of the study was to assess the efficacy of mindfulness-based meditation therapy on the psychological well-being and sense of coherence of nurses with respect to coping with stress. The participants were 28 nurses working in a ward for elderly patients, with 15 included in the intervention group and 13 in the control group. Nurses in the intervention group received two sessions of mindfulness-based meditation therapy, including breathing, yoga movement and meditation. Each nurse was taught the program in the first session, then exercised at home with a CD, and subsequently met with an interviewer in a second session after two weeks. Nurses in the control group did not receive any interventions. The participants completed the General Health Questionnaire (GHQ), including subdomains of physical symptoms, anxiety and sleep disturbance, interference with social activities, and depression; and the Sense of Coherence (SOC) questionnaire, which includes three subdomains of comprehensibility, manageability, and meaningfulness pre- and post-intervention. The GHQ scores of the intervention group showed a significantly greater decrease than those of the control group. The SOC scores of the intervention group showed a significantly greater increase after the intervention compared to those in the control group, with the highest score for the meaningfulness subdomain. These results indicate that mindfulness-based meditation therapy is effective for improving the psycho-logical well-being and sense of coherence of nurses, which helps them to cope with stress.
Acceptance Process Model of Patients’ Life with Terminally Ill in Home Hospice and Development of a Narrative Approach for Nurses  [PDF]
Michiyo Ando, Hiroko Kukihara, Mayumi Yamamoto, Yasuyoshi Ninosaka, Naoyuki Saito
Journal of Cancer Therapy (JCT) , 2019, DOI: 10.4236/jct.2019.104025
Abstract: The prime aim of this study was to find a psychological process model of patients with terminally ill in home hospice investigating the contents of a narrative, and the secondary aim was to create a narrative approach program for nurses. Ten patients narrated their thinking or feelings along with some prepared questions in two sessions. Patients’ narrative data were categorized by a qualitative analysis and 34 categories were chosen. They perceived good points in home hospice like “Being able to spend time freely”, “Close relationships with care staffs and strong confidence”, though they perceived trouble points like “Suffering from putting burden on the people around me” or “Worries about economic problems”. They perceived psychological changes through illness like “Having peace of mind and becoming kind” “Desire for a natural death”. Moreover they perceived their life like “Acceptance of one’s life including illness” “My life lived with satisfaction”. They regarded as important things such as “Spending life time usefully” “Feelings of my family members and of those around me”, and as hopes “Hope to leave my living proof” “Living left time to the fullest”. From these categories, we propose an acceptance model of patients’ life and a narrative program for nurses.
Contents of Care and Perception of Home Hospice Nurses Who Work at Visiting Medical Treatment Hospitals  [PDF]
Michiyo Ando, Hiroko Kukihara, Mayumi Yamamoto, Yasuyoshi Ninosaka
Open Journal of Nursing (OJN) , 2019, DOI: 10.4236/ojn.2019.98061
Abstract: Goal: The aim of this study was to examine the perception of nurses who worked at the clinic which proposed home hospice and contents of care to better understand home hospice and enhance home care. Methods: Six nurses who worked at the clinic where proposed visiting medical treatment participated voluntarily. They received one interview for approximately one hour, in which they narrated their perception of home hospice and content of nursing care. The narrative was recorded by an IC recorder and analyzed as contents analysis. This study was approved by the Ethical Board at St. Mary’s College. Results: About the content of nursing care, some categories were selected such as “Understanding a patient as a living person,” “Examining if a patient and caregiver live at ease,” or “Caring for a caregiver accepting a loved one’s death and care given at death.” Nurses perceived the theme as “Time and space for listening carefully,” the theme as “Feeling of responsibility and attractiveness of work,” the theme as the “Economics and manpower to continue home hospice,” the as a “Required connection between hospitals and home hospice clinics.” Conclusion: Visiting medical treatment nurses understand a patient and a family as living people based on intimate relationships, support them as the disease progresses, and connect to a visiting nurse station. They perceived that “patients can enjoy freedom; the nurses had responsibility and strong relationships. They felt the economic or man-power needs to continue and the requirement of a connection between hospitals and home hospice clinics.
Development of Narrative Approach for Family Caregiver’s QOL at Home Hospice and Contents of Narrative  [PDF]
Michiyo Ando, Hiroko Kukihara, Mayumi Yamamoto, Yasuyoshi Ninosaka, Naoyuki Saito
Psychology (PSYCH) , 2019, DOI: 10.4236/psych.2019.1011092
Abstract: Goal: The aim of this study was the development of a narrative approach program for family caregivers at home hospice. We examined the effect on quality of life (QOL) and the factors of their narrative. Methods: Ten family caregivers who were taking care of a patient with a terminal illness at home at the time of the study participated voluntarily. They received two interviews in the narrative approach, in which they narrated about one hour per interview. They completed the questionnaires about quality of life (positive emotion in Caregiver Quality of life Index-Cancer: CQOLC), Life Satisfaction, and mental health (General Health Questionnaire: GHQ). Data was analyzed by quantitative and qualitative analysis. This study was approved by the Ethical Board at St. Mary’s College. Results: The CQCLC score significantly increased (p < 0.05) and the GHQ score decreased, though not to a significant extent. Life satisfaction didn’t change because of ceiling effect. The categories about importance, changes after getting disease, hopes are selected. Conclusion: Narrative Approach may be useful to increase family caregiver’s Quality of life (positive emotions), and have the possibility to reduce mental health problems. Selected categories suggested psychological process of caregivers, and that the narrative approach might promote the recognition of positive aspects or resilience. We propose a narrative approach program as a pilot study.
Perception of Reasons of Decision Making for Home Hospice, Benefits and Difficulties in Home Hospice Care by Family Caregivers  [PDF]
Michiyo Ando, Hiroko Kukihara, Mayumi Yamamoto, Yasuyoshi Ninosaka, Naoyuki Saito
Open Journal of Nursing (OJN) , 2019, DOI: 10.4236/ojn.2019.910075
Abstract: Objective: Home hospice is one of the most important places to spend time at the end of life. It is necessary to clarify the perception of home hospice for family caregivers in order to choose home hospice. The aim of the study was to examine the perceptions of family caregivers about the reasons of decision making for home hospice care, benefits, difficulties with home hospice, and copings. Methods: Ten family caregivers who were taking care of a patient with a terminal illness at home at the time of the study participated voluntary. They participated in two interviews in the narrative approach. In the first session, they narrated reasons of decision making for home hospice, benefits, difficulties, and copings. In the second session, they narrated importance or growth in self. We analyzed narratives in the first session using qualitative analysis. This study was approved by the Ethical Board at St. Mary’s College. Results: Categories of the reasons for the decision making to undergo home hospice were “Being natural to take care of a loved one at home” or “Home hospice matching a family caregiver’s life”. Categories of benefits at home hospice were “To strengthen family’s ties” or “Both a loved one and a family spending time together”. Categories of difficulties were “Difficulty of economic problems” or “Difficulties of mental and physical symptoms”. Conclusion: We concluded that family caregivers perceived benefits and difficulties, and they could cope with difficulties, though spiritual pain remained. We need continuous support for family caregivers at home hospice.
Gemtuzumab ozogamicin in the treatment of adult acute myeloid leukemia  [PDF]
Hiroko Tsunemine, Takayuki Takahashi
Health (Health) , 2013, DOI: 10.4236/health.2013.55A002
Abstract:

Gemtuzumab ozogamicin (GO) is a humanized anti-CD33 monoclonal antibody conjugated to a derivative of an antitumor antibiotic, calicheamicin. GO was approved for the treatment of relapsed acute myeloid leukemia (AML) in the United States (US) in 2000. However, GO was withdrawn from the US market in June 2010, because a large-scale clinical trial failed to show additive or synergistic effects with conventional chemotherapy for newly diagnosed AML. GO is currently available only in Japan. However, several large clinical studies have demonstrated beneficial effects of GO when added to chemotherapy for AML in recent years; therefore, reconsideration of GO availability is gaining attention. Therefore, the role and efficacy of GO as monotherapy or in combination therapy for de novo or relapsed AML should be positively investigated.

Initial Academic Literacies/EAP/Genre Practices: Towards Horizontal and Participatory Online-Offline Learning in a Changing World  [PDF]
Nara Hiroko Takaki
Open Journal of Social Sciences (JSS) , 2014, DOI: 10.4236/jss.2014.210005
Abstract: This article argues in favor of extended possibilities for under-graduate students’ initial development of academic literacies/EAP/genre practices. The description of a particular learner’s initiative and its consequences constitutes the focus of the paper, which is the result of a research project in a specific context of higher education in Brazil. Qualitative and interpretive aspects characterize the methodology adopted for this investigation for the researcher and the participants’ perspectives are considered. It also assumes academic literacy/EAP/genre as situated social practices. The learning theories support the use of Facebook in English language instruction. Portability and multitasking, opportunity to structure learning on personal time and schedule, space for critical authorship and multimodal tasks in collaborative fashion suggest the inseparability between non-dominant forma of literacies and conventional academic literacy/EAP/genre studies.
Convergence Theorems for a Maximal Monotone Operator and a -Strongly Nonexpansive Mapping in a Banach Space
Hiroko Manaka
Abstract and Applied Analysis , 2010, DOI: 10.1155/2010/189814
Abstract: Let E be a smooth Banach space with a norm . Let for any , where stands for the duality pair and J is the normalized duality mapping. With respect to this bifunction , a generalized nonexpansive mapping and a -strongly nonexpansive mapping are defined in . In this paper, using the properties of generalized nonexpansive mappings, we prove convergence theorems for common zero points of a maximal monotone operator and a -strongly nonexpansive mapping. 1. Introduction Let be a smooth Banach space with a norm and let be a nonempty, closed and convex subset of . We use the following bifunction studied by Alber [1], as well as Kamimura and Takahashi [2]. Let be defined by for any , where stands for the duality pair and is the normalized duality mapping. Note that the duality mapping is single valued in a smooth Banach space (see [3]). From the definition of the following properties are trivial. Lemma 1.1. (a) For all , (b) If a sequence satisfies for some , then is bounded. Let be the fixed points set of . Ibaraki and Takahashi defined a generalized nonexpansive mapping in a Banach space (see [4]). Definition 1.2. A mapping is said to be generalized nonexpansive if and for all and . In this paper, we prove strong convergence theorem for finding common fixed points of a family of generalized nonexpansive mappings. In addition, we prove strong convergence theorem for finding zeroes of a generalized nonexpansive mapping and a maximal monotone operator. Now, we define a -strongly nonexpansive mapping as follows. Definition 1.3. A mapping?? ??is called -strongly nonexpansive if there exists a constant such that for all , where is the identity mapping on . More explicitly, if (1.2) holds, then is said to be -strongly nonexpansive with . If is -strongly nonexpansive with , then is -strongly nonexpansive with any . It is trivial that a -strongly nonexpansive mapping is generalized nonexpansive if . In the following section, we show that in a Hilbert space a firmly nonexpansive mapping is -strongly nonexpansive with and a -strongly nonexpansive mapping is strongly nonexpansive if . Motivated by the results of Manaka and Takahashi [5], we prove weak convergence theorem for common zero points of a maximal monotone operator and a -strongly nonexpansive mapping in a Banach space. 2. Preliminaries Let be a nonempty subset of a Banach space . A mapping is said to be sunny, if for all and , A mapping is called a retraction if for all (see [6]). It is known that a generalized nonexpansive and sunny retraction of onto is uniquely determined if is a smooth and strictly convex
生政治学の視点から音楽療法を再考する
Hiroko Miyake
Voices: A World Forum for Music Therapy , 2008,
Abstract: 本論では、フーコー(1977、1990)、アガンベン(1998、1999)、ハート&ネグリ(2000、2004)による生権力や生政治の視点から、音楽療法プロセスの再考を試みる。  筆者の研究の中心的焦点は、音楽療法の政治的意味に関わるものである。このことについて本論では、Nordic Journal of Music Therapy誌に掲載された、エドワード事例の第1回目のセッションに関する議論を例に検討する。そこには、文化的に受け入れられる、ある特定の音楽表現へと向かう方向性が療法的意味と見なされているように思われる。ここで論じられている音楽的統合は、"行動の可能性"を増すものと捉えられているが、また一方で文明化(社会的適合)のプロセスでもあるだろう。生政治の視点から見ると、これまでの議論は専らビオスbiosの側、すなわち文明化の側から論じられ、ゾーエの側、すなわちクライエントの生そのものからの視点が欠けている傾向があったのではないかと考えられる。  音楽療法を通じた文化的統合は、果たして本当にクライエントのアイデンティティ構築を援助するものなのだろうか 本論では、このような問いをさらに探求するために、ハート&ネグリによるマルチチュードmultitudeの概念を紹介する。これは、音楽表現の特異性を尊重する新しい音楽作りのあり方を追求する上で示唆を与えるものであり、近年の多くの音楽療法士達の考えに呼応するものと考えられる。
Rethinking Music Therapy From the Perspective of Bio-politics
Hiroko Miyake
Voices: A World Forum for Music Therapy , 2008,
Abstract: In this article, I intend to reconsider music therapy process from the perspectives of bio-power and bio-politics by Foucault (1977, 1990), Agamben (1998, 1999) and Hardt & Negri (2000, 2004). My interest is in the political implications of music therapy. I examine discussions of music therapists on the first session of Edward that appeared in the Nordic Journal of Music Therapy (2003). In this article, a predilection to culturally acceptable musical expression is suggested. This musical integration might increase "possibilities of action" or might be a process of civilization (social conformity). When I position these arguments beside bio-politics, the discourses are exclusively discussed from the side of bios, or civilization. Little concern seems to be rendered from the perspective of zoe. Can the cultural inclusion through music therapy really help clients construct identities? To go beyond this, I introduce Hardt and Negris' concept of multitude. This concept seems to resonate with many recent music therapists' intentions. The new ways of music making and therapy that can respect the singularity of musical expressions. I suggest that common ideas might be more acceptable within this conceptual framework.
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