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Search Results: 1 - 10 of 6188 matches for " Sarah Nayumi Nishihira "
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Aplica o da Medida de Independência Funcional na prática do autocuidado em uma unidade de interna o geriátrica
Juliana Tamie Yamada,Sarah Nayumi Nishihira,Márcia Torturela
Revista Brasileira de Ciências do Envelhecimento Humano , 2006,
Abstract: Objetivo: Descrever o perfil de idosos internados em uma unidade de interna o geriátrica de acordo com a sua funcionalidade e sua dependência no auto cuidado e avaliar sua evolu o quanto a esses aspectos durante o período de interna o. Método: Os dados sócio-demográficos e clínicos foram coletados por meio do histórico de Enfermagem. O instrumento utilizado para realizar a avalia o da funcionalidade foi a Medida de Independência Funcional (MIF). A amostra foi composta por 31 idosos de idade superior ou igual a 60 anos, que foram avaliados semanalmente, quanto à sua funcionalidade para o auto cuidado, desde a sua admiss o até o momento de sua alta. Resultado: Na avalia o da MIF auto cuidado total houve uma redu o da pontua o entre a 1a (16,57) e 3a (14,29) semana, porém sem significancia estatística (p=0,239). Analisando os itens da MIF separadamente (alimenta o, higiene, banho, uso do vaso sanitário e vestir-se acima e abaixo da cintura) houve redu o da pontua o com significancia estatística na maioria dos itens durante o período de interna o. Conclus o: Houve uma tendência a piora na funcionalidade do idoso com rela o ao auto-cuidado durante o período de interna o hospitalar. Portanto a assistência de enfermagem deve criar condi es que possibilitem o idoso manter e implementar o auto cuidado, para que o mesmo adquira independência e conviva da melhor maneira possível com suas limita es, facilitando desta forma, sua reintrodu o na sociedade e na família.
The Influence of Dynamic Signs on Cyclists’ Braking Rates: A Systematic Study Using Immersive Virtual Reality  [PDF]
Hiroshi Watanabe, Nana Ito, Hiroyasu Ujike, Reiko Sakata, Munetaka Nishihira, Tsutomu Matsubara
Psychology (PSYCH) , 2017, DOI: 10.4236/psych.2017.89084
Abstract: Dynamic signs are signs that incorporate movement and are projected from a vehicle toward pedestrians or on the wall or floor of a public facility. Projection-based signage systems that are easy to install and move are becoming increasingly practical as a result of recent improvements in projector technology, and there is a need to accumulate knowledge on such signs and their interactions with people from an ergonomic perspective. This paper studies dynamic signs projected from parked cars (these signs warn that the car is about to reverse or open a door) with the goal to clarify the influence of these dynamic signs on the braking behavior of cyclists riding near the cars. In an experiment, we placed several parked cars in an immersive virtual reality space and created a system that allowed participants to move through the virtual space by steering a real bicycle. As participants rode past the row of parked cars, they took evasive actions to avoid a collision by actually operating the brake and handlebar in response to signs projected from cars warning that the car was about to reverse or open a door. For the experimental conditions, we looked at participant age groups, the method used to display the signs, and the timing of displaying the sign. The results suggest that the various experimental conditions produce different effects, and our discussion focuses on brake selection rates as a measure of cyclists’ responses to events.
Involvement of MIF in Basement Membrane Damage in Chronically UVB-Exposed Skin in Mice
Yoko Yoshihisa, Osamu Norisugi, Kenji Matsunaga, Jun Nishihira, Tadamichi Shimizu
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0089569
Abstract: Solar ultraviolet (UV) B radiation is known to induce matrix metalloproteinases (MMPs) that degrade collagen in the basement membrane. Macrophage migration inhibitory factor (MIF) is a pluripotent cytokine that plays an essential role in the pathophysiology of skin inflammation induced by UV irradiation. This study examined the effects of MIF on basement membrane damage following chronic UVB irradiation in mice. The back skin of MIF transgenic (Tg) and wild-type (WT) mice was exposed to UVB three times a week for 10 weeks. There was a decrease in intact protein levels of type IV collagen and increased basement membrane damage in the exposed skin of the MIF Tg mice compared to that observed in the WT mice. Moreover, the skin of the MIF Tg mice exhibited higher MIF, MMP-2 and MMP-9 expression and protein levels than those observed in the WT mice. We also found that chronic UVB exposure in MIF Tg mice resulted in higher levels of neutrophil infiltration in the dermis compared with that observed in the WT mice. In vitro experiments revealed that MIF induced increases in the MMPs expression, including that of MMP-9 in keratinocytes and MMP-2 in fibroblasts. Cultured neutrophils also secreted MMP-9 stimulated by MIF. Therefore, MIF-mediated basement membrane damage occurs primarily through MMPs activation and neutrophil influx in murine skin following chronic UVB irradiation.
Perfil de pacientes submetidas à reconstru o mamária tardia atendidas em hospital universitário do município de S o Paulo
Jorge Manuel,Elisa Nayumi Kokuba,Miguel Sabino Neto,álvaro Silva Santos
Saúde Coletiva , 2010,
Abstract: Este es un estudio cuantitativo, exploratorio, descriptivo y transversal, desarrollado del a o de 2003 al 2005, con el objetivo de conocer el perfil de pacientes sometidas a la reconstrucción mamaria tardía en un hospital académico de la ciudad de S o Paulo, S o Paulo, Brasil. Se insertaron 36 pacientes después de establecidos los criterios de inclusión y exclusión. Una base de datos específica se creó para el registro de la información y la análisis ocurrió basado en el Statiscal Package for Social Science. Las mujeres insertadas en el estudio eran en la mayoría blancas, casadas, con la ense anza básica, con IMC mediano de 24,25 kg/m2, y edad mediana de 46,08 a os. Aunque se describe en la literatura pocas complicaciones postoperatorias en esta cirugía, en este estudio algunas complicaciones fueron descritas. Así, es importante conocer el perfil ideal en la elegibilidad de las pacientes por este tipo de procedimiento reparador, para que las complicaciones inmediatas y/o mediatas sean minimizadas.
Using Metaphors to Aid Student Meta-Learning: When You’re Learning at Your Best Your Like What?  [PDF]
Sarah Nixon
Creative Education (CE) , 2013, DOI: 10.4236/ce.2013.47A2006

Metaphors are widely discussed within educational research and this paper adds to the body of knowledge in relation to students using these as a tool to support meta-learning. Metaphors free up space for creative thinking by moving the mind from one place to another and have been found to be an effective cognitive device for learning. This project focuses on what students are like when they are “learning at their best” and discusses what knowing this information does for both individual self-awareness and working with others. Six final year students spent half a day exploring, developing and pictorially representing their “learning at best” metaphors. All six metaphors were different and showed the internal representations of the individuals when they were learning at their best. However out of the discourse common themes arose from the group in relation to what was needed to support learning these included time of day, mood, pace and environment. All six students were positive that the development of personal learning metaphors was beneficial and thought that it was important that these were developed systematically over time. The benefits were highlighted to be both for the individual working on their own and for understanding others in group work situations.

A Day in the Life of an Early Childhood Teacher: Identifying the Confronting Issues and Challenges That Arise  [PDF]
Sarah Ohi
Creative Education (CE) , 2014, DOI: 10.4236/ce.2014.511115

Recent emphasis upon Early Childhood as an educational priority for the Australian Government has resulted in increases in funding, government initiatives, course providers and the introduction of new policies to the sector in order to improve the quality of early childhood education. The study reported here investigated the “reality” of what it means to be an Early Childhood Teacher within this changing context and identified the roles and responsibilities and the associated challenges. A case study involving observation and interviews with five Bachelor qualified Teachers from varied early childhood settings was undertaken in order to gain knowledge about their experiences and perspectives on their work. The data were analyzed using a grounded theory approach involving the identification of key themes and issues about the nature of teachers’ work. The findings revealed that in their everyday practice teachers played a complex array of roles that required them to contribute far more than just their teaching skills and knowledge. They were expected to concurrently enact the roles of educator, leader, advocate, communicator, counsellor and administrator whilst juggling everyday challenges including a “lack of time”, the need for “further support and more resources” and “building successful partnerships with parents”.

Behavioural Sleep Disorders across the Developmental Age Span: An Overview of Causes, Consequences and Treatment Modalities  [PDF]
Sarah Lee Blunden
Psychology (PSYCH) , 2012, DOI: 10.4236/psych.2012.33035
Abstract: Behavioural sleep problems, that is, sleep problems that do not have a physiological aetiology, but rather a behavioural or psychological aetiology, are reported in between 20% - 40% of children and adolescents. These sleep disorders are categorised as Behavioural Insomnia of Childhood (BIC) in the International Classification of Sleep Disorders. BIC can result in short sleep duration and poor quality sleep and can have wide ranging effects on mental and physical health, cognitive and social functioning and development in infants, pre-schoolers, school aged children and adolescents. Each age group have a particular set of behaviourally based sleep disorders. This paper presents a broad overview of BIC and covers essential information about these sleep disorders, their aetiologies, effects on development and non medical treatment modalities.
Performance Study of a Distributed Web Server: An Analytical Approach  [PDF]
Sarah Tasneem, Reda Ammar
Journal of Software Engineering and Applications (JSEA) , 2012, DOI: 10.4236/jsea.2012.511099
Abstract: With the rapid expansion of the Internet, Web servers have played a major role in accessing the enormous mass of Web pages to find the information needed by the user. Despite the exponential growth of the WWW, a very negligible amount of research has been conducted in Web server performance analysis with a view to improve the time a Web server takes to connect, receive, and analyze a request sent by the client and then sending the answer back to client. In this paper, we propose a multi-layer analytical approach to study the web server performance. A simple client-server model is used to represent the WWW server in order to demonstrate how to apply the proposed approach. We developed a systematic, analytical methodology to quantify the communication delay and queuing overhead in a distributed web server system. The approach uses the Computation Structure Model to derive server processing time required to process a request sent from a client and queueing model to analyze the communication between the clients and the server.
Preferences for behavioral therapies for chronic insomnia  [PDF]
Sarah Ibrahim, Souraya Sidani
Health (Health) , 2013, DOI: 10.4236/health.2013.511240
Abstract: Purpose: The purpose of this study was twofold: to examine the acceptability and preference for the two behavioral therapies, and to identify factors persons with chronic insomnia take into account when choosing treatment. Methods: The data were obtained in a large trial evaluating the effects of Stimulus Control and Sleep Restriction therapies. Prior to treatment, participants completed the treatment acceptability and preference (TAP) questionnaire, which described the Stimulus Control Therapy and the Sleep Restriction Therapy and requested participants to rate the acceptability of each treatment option before choosing one for the management of chronic insomnia. Open-ended questions were used to explore the factors that participants considered when making a choice. Results: Participants rated the Sleep Restriction Therapy as acceptable and 70.2% of participants preferred it over Stimulus Control Therapy. The factors that influenced participants’ choice related to the familiarity, previous personal experience, novelty, and suitability of the treatment. Conclusion: Persons have expressed a preference for treatments to manage chronic insomnia. Healthcare providers are in a position to provide relevant information about treatment options in order to help persons make informed treatment related decisions.
Fermented Milk Products from Different Milk Types  [PDF]
Olusola Ladokun, Sarah Oni
Food and Nutrition Sciences (FNS) , 2014, DOI: 10.4236/fns.2014.513133
Abstract: Yogurt was produced from milk obtained from cow milk, goat milk, soymilk and coconut milk by fermentation using starter cultures of Lactobacillus bulgaricus and Lactobacillus acidophilus.The results obtained showed that the initial pH of the fresh milk samples were slightly acidic: cow milk (6.3), goat milk (6.2), soymilk (6.4) and coconut milk (6.0). The pH results of the various fermented milk at 0 hour of production were goat milk (5.24), cow milk (5.85), soymilk (5.73) and coconut milk (5.98), but at 72 hours, all the milk samples tended to be more acidic due to the fermentation and had lower pH values. All the fresh milk samples had the high moisture content which ranged from 63.34% - 76.90%. Fat content ranged between 9.76% - 15.02%. Crude protein ranged from 7.17% - 32.17% with goat milk having the highest protein level of (32.17%). Ash content had the range of 0.52% - 0.96%. Goat milk had the highest ash content value and coconut milk had the least value. Specific gravities of soymilk, goat milk, cow milk and coconut milk were 1.018, 1.030, 1.016 and 1.01 g/ml respectively. Taste, color, mouth feel and odor were acceptable at 0 hours of production but their value depreciated with storage at room temperature. This study was able to establish the close nutritional gap between cow milk, goat milk, soya and coconut milk yoghurt preparations. The nutritional values obtained from the proximate analysis of the milk samples were comparable. This clearly points to the fact that either of the food can substitute for each other based on the values established from this study.
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