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Influences of Horticultural Therapy and Functional Recovery Training at a Day-Care Center for the Elderly and Text Mining of Care Records by AI

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Open Journal of Therapy and Rehabilitation 2024年第2期12卷 117-131页

作者： Seigo Koura Shinya Matsutani Kazuho Nagao Yu Fukushima Akiko Ikeda Takeshi Oshikawa Tomohiro Inagaki kentaro higashi Faculty of Graduate School Postdoctoral Course in Health Care Medicine Nishikyusyu University Kanzaki Japan Social Welfare Corporation Kanjikai Miyakonojyo Japan Sophia Phyto-Therapy College Tokyo Japan

Background: In Japan, due to the COVID-19 pandemic, various behavioral restrictions were implemented from March 2020, resulting in an increased number of elderly people with reduced participation in care and rehabilitation. As a result, the decline in motor and cognitive functions became more pronounced. Purpose: The study examined how activities combining passive horticultural therapy, which is always introduced, with active functional recovery training, which is used in the functional recovery training of patients with hemiplegia, influence the behavior of elder people using the facility. Methods: 36 elder people with care need 1 or 2 who regularly used the day-care facilities after the pandemic ended and who agreed to participate in the study was included. The assessment data were every three months from December 2021 to December 2023 after the COVID-19 pandemic, the MMSE and Moca-J, TMIG-Index, and GDS15. AI-based text mining was used to compare changes in visit reports before and after the introduction of the Posture Chart and Red Code, and the relationship between the language used. Results: The results of MMSE and Moca-J were both significantly higher in Group B and C than in Group A. TIMG assessment, was significantly higher in Group B and C than in Group A, and Group C was significantly higher than Group B. The GDS, an assessment of depression in old age, tended to be significantly higher in Group A than in Groups B and C. In the “Co-Occurrence Network Analysis” shown after the introduction of the latest functional recovery training equipment such as the Red Cord, its results showed a high association between the words Bathing and CARE and words such as POSTURE, Red-Code, and AI, App, which are used in functional training and rehabilitation, and their analysis. Conclusion: At day-care facilities specializing in functional recovery training and rehabilitation, a combination of horticultural therapy and the latest functional training equipment found to help m

关键词： Horticultural Therapy Hand Care Treatment Senior Day-Care Center Functional Recovery Training KH-Corder

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Influence of Wheelchair Cushions Fabricated by Therapists on Stability, Comfort, and Functionality

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Open Journal of Therapy and Rehabilitation 2020年第1期8卷 1-11页

作者： Takeshi Oshikawa Seigo Koura Nishikawa Chihoko Kazuho Nagao kentaro higashi Department of Rehabilitation Nishikyusyu University Saga Japan Social Welfare Corporation Kanjikai Japan

“Ease of comfort” and “functionality” are important factors that have been cited to improve wheelchair seating. The ability to maintain balance and posture while seated in a wheelchair improves stability, comfort, and functionality and is a prerequisite for daily activities. In this study, the authors used a sitting position measuring device to scientifically verify differences in sitting posture, comfort, and functionality depending on the presence or absence of cushions and the type of cushion in elderly individuals who used wheelchairs. Results suggested that a cushion fabricated by a therapist was more useful than a commercially available air cushion. While a commercially available air cushion was the most suitable, the therapist’s self-made cushion could be expected to demonstrate the same or better applicability than an air cushion.

关键词： Wheelchair Sitting Stability Cushion Comfort Functionality

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Effects of Hand Care Therapy on Reducing the Conversion Rate from MCI to Dementia and Role of COVID-19 as Non-Pharmacotherapy

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Open Journal of Therapy and Rehabilitation 2020年第3期8卷 42-52页

作者： Seigo Koura Akiko Ikeda Yasuhiko Fujioka Yasuhiro Mizogami kentaro higashi Takeshi Oshikawa Faculty of Rehabilitation Nishikyusyu University Kanzaki City Japan Sophia Phyto-Therapy College Tokyo Japan Fujioka Hospital Saga City Japan MIZ Holdings Ltd. Saga City Japan Social Welfare Corporation Kanjikai Miyakonojyo City Japan

Dementia needs to be addressed by various researchers to reduce the risk of morbidity and progression. And dementia was regarded as one of lifestyle-related diseases, and it is estimated that about 10% of MCI (Mild cognitive impairment) progresses to dementia in one year. In this study, we examined whether hand care therapy (HCT) as one of passive horticultural therapy was effective in preventing dementia/MCI. In result, the use of HCT was shown to be effective in preventing dementia and MCI illness and slowing progression. The elderly people tended to decrease iADL year by year, but the HCT group did not. In addition, the senile depressive tendency, which is said to be increasing year by year, tended to be reduced in the HCT-treated group. This is thought to be due to not only the healing effect of the massage by HCT treatment and the effect of transmitting the pleasant stimulus from the tactile sense to the frontal lobe, but also the true communication effect created by sitting gently and touching the hand. This HCT technique can improve the euphoria of the treated side and the treated side. Therefore, it can be expected that the autoimmunity of all people involved can be improved, and it can be judged to be promising as a preventive technique and non-pharmacotherapy for lifestyle-related diseases and various infectious diseases like COVID-19.

关键词： Dementia MCI Conversion Hand Care Prevention COVID-19

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Effects of the Hand Care Therapy that Used Natural Herb Oil on Autonomic Nervous System against All People Concerned

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Open Journal of Therapy and Rehabilitation 2021年第4期9卷 132-142页

作者： Akiko Ikeda Hiroya Miyabara kentaro higashi Tmohiro Inagaki Chieko Nishikawa Kazuho Nagao Seigo Koura Faculty of Rehabilitation Nishikyusyu University Kanzaki Saga Japan Sophia Phyto-Therapy College Tokyo Japan Social Welfare Corporation Kanjikai Miyakonojyo Japan

Multi-sensory stimulation is beneficial to a wide variety of conditions typical of geriatric patients. Some therapies for elderly people are based on the philosophy that the activities to be carried out will also be stimulating to the senses. On the other hand, the dynamics of the senses plays an important role beyond mere reason and sensibility in people’s lives. The hand care therapy that used natural herb oil is the alternative medicine that utilized a plant or its essential oil, which is used in various application scenes. In our past study, the hand care therapy that used natural herb oil demonstrated the effectiveness for elderly people. In this study, we examined influences on psychological condition of the side to treatment on. On the evaluation with question paper, baseline of POMS factor and TMD average were similar to pre-HCT. In post-HCT, T-A, A-H, F and C which were negative factors decreased than pre significantly. The forward factor V did not have significant difference, but the mean increased. Furthermore, the TMD (total mood distance) score generally decreased and changed in the balance of good feelings. On the objective evaluation, temporal change differences in the PNS (Parasympathetic Nervous System) during the relaxed state and following the induced stress state were monitored using ECG (electrocardiograph). The SNS (Sympathetic Nervous System) of students in HCT has decreased, and the PNS was confirmed to increase. For the tendency in SNS, the changes during the HCT were small. There were no significant changes in rSO

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Long-Term Active and Passive Horticultural Therapy Intervention for Elderly Patients with Moderate Dementia and AI Analysis of Medical Records and Care Documents

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Open Journal of Therapy and Rehabilitation 2023年第1期11卷 17-33页

作者： Seigo Koura Chieko Nishikawa Tomohiro Inagaki Akiko Ikeda Takeshi Oshikawa Shinya Matsutani Risa Semba Yusuke Kumura kentaro higashi Faculty of Rehabilitation Nishikyusyu University Kanzaki City Japan Social Welfare Corporation Kanjikai Miyakonojyo City Japan Sophia Phyto-Therapy College Tokyo Japan Department of Rehabilitation Center St. Mary’s Hospital Kurume City Japan

Background: Previous studies have shown that Hand Care Treatment, a form of passive horticultural therapy, is effective in preventing dementia and MCI and reducing the rate of progression. Due to the Covid-19 pandemic, various activity restrictions were implemented in Japan from March 2020, and the number of elderly people without care and rehabilitation will the number of elderly people without care and rehabilitation has been increasing. Purpose: Progression of cognitive, physical, and mental disability was examined for long-term horticultural therapy study subjects by level of care required. Methods: One subject who had been diagnosed with dementia and was residing in an elderly care facility and consented to a long-term study was selected. In addition to assessments using various evaluation forms, data recorded from time to time, including changes in care plans, were analyzed using text mining methods. Results: This subject tended to progress slowly from 1 to 2 care needs, but progressed from 3 to 5 care needs over a 2-year period. The results of the assessment chart test showed that cognitive impairment and IADL decreased with each increase in the level of care required, but DBD remained the same at the time of admission, even at 5 years of care required. A comparison of HCT and aroma intervention with and without aroma intervention during the nursing care level 1 showed that the improvement in physical, mental, and cognitive function was expected to be higher at the time of intervention. Text-mining inspections have revealed that during the period of nursing care level 1 - 5, active horticultural therapy techniques, and passive horticultural therapy techniques such as HCT and brain rejuvenation aromatherapy were found to betweenness centrality with each other. Conclusion: From the results of mean score of DBD, although the nursing care level has progressed from 1 to a maximum of 5, it can be concluded that the burden of care has not become heavier. There was n

关键词： Dementia MCI Hand Care Treatment Prevention Covid-19 KH Coder3

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Effectiveness of Hand Care Therapy and Garden Walks That Are Conscious of the Stimulation of the Five Senses for Recovery of Cognitive and Mental and Physical Dysfunction Caused by COVID-19

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Open Journal of Therapy and Rehabilitation 2021年第1期9卷 10-27页

作者： Seigo Koura Akiko Ikeda Risa Semba Megumi Ito Kazuho Nagao kentaro higashi Yusuke Kumura Hiroki Yokota Shinya Matsutani Yasuhiko Fujioka Faculty of Rehabilitation Nishikyusyu University Kanzaki Japan Sophia Phyto-Therapy College Tokyo Japan Social Welfare Corporation Kanjikai Miyakonojyo Japan Department of Rehabilitation Center St. Mary’s Hospital Kurume Japan Fujioka Hospital Saga Japan

The Japan Dementia Prevention Society conducted a questionnaire survey of dementia specialists conducted in August 2020. Regarding the worsening of symptoms in people with dementia, 8% answered that they “accept more” and 32% answered that they “recognize a minority”. In the previous research report (Open Journal of Therapy and Rehabilitation Vol.8 No.3), we examined whether hand care therapy (HCT) as one of the passive horticultural therapy was effective in preventing dementia/MCI. Start of the test in August 2018 (I: BL) to February 2020 (VII: 18M) was, the use of HCT was to be effective in preventing dementia and MCI illness and slowing progression. Due to the COVID19 pandemic, VIII (24M) was evaluated in August 2020, and IX (27M) also measured ANS during activity. At that time, they divided into the Group E who had refrained from welfare facilities for the elderly due to the influence of COVID19 and the Group F who HCT continued. In the evaluation of VIII (24M), it was found that the cognitive function of the Group E was significantly reduced compared to VII, and Group F did not show a significant decrease. ADL decreased and depressive symptoms increase by continuing a life with less going out due to the influence of COVID 19 regardless of the use of the facility. It became clear that both Group E and Group F show good changes in ANS balance in the IX. Therefore, by utilizing horticultural therapy that the power of nature and plants in addition to utilizing welfare facilities for the elderly, cognitive impairment in COVID 19. It was expected to lead to prevention and prevention of negative psychology and behavior such

关键词： Dementia MCI ANS Hand Care Prevention COVID-19

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First successful perinatal management of pregnancy after ABO-incompatible liver transplantation

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World Journal of Gastroenterology 2017年第3期23卷 547-550页

作者： Hisanobu higashi Hideaki Obara Kei Miyakoshi Masahiro Shinoda Minoru Kitago Naoki Shimojima Yuta Abe Taizo Hibi Hiroshi Yagi kentaro Matsubara Yohei Yamada Osamu Itano Ken Hoshino Tatsuo Kuroda Yuko Kitagawa Department of Surgery Keio University School of MedicineTokyo 160-8582Japan Department of Obstetrics and Gynecology Keio University School of MedicineTokyo 160-8582Japan Department of Pediatric Surgery Keio University School of MedicineTokyo 160-8582Japan

Many papers have reported on pregnancy and delivery after liver transplantation, but there have been no reports on pregnancy after ABO-incompatible liver transplantation. This paper reports the first successful pregnancy and delivery of a newborn after ABOincompatible liver transplantation for fulminant hepatic failure. The patient was a 39-year-old female. She had an ABO-incompatible liver transplantation, donated from her husband, due to subacute fulminant hepatitis of unknown etiology. She was taking tacrolimus, methylprednisolone, and mizoribine orally for the maintenance of immunosuppression at the time of discharge. She was discharged uneventfully on postoperative day 38 without any rejection episodes. At 1 year and 6 mo after transplantation, she indicated a wish to become pregnant. Therefore, treatment with mycophenolate mofetil was interrupted at that time. After two miscarriages, she finally became pregnant and delivered transvaginally 3 years after the transplantation. All of the pregnancies were conceived naturally. The newborn was female with a birth weight of 3146 g; the Apgar scores were 9 and 10. Delivery was performed smoothly, and the newborn exhibited no malformations. The mother and the newborn were discharged uneventfully. We suggest that pregnancy is possible for recipients after ABO-incompatible liver transplantation.

关键词： Pregnancy Liver transplantation Delivery Fulminant hepatic failure ABO-incompatible Living donor

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Fast-moving bimorph actuator based on electrochemically treated millimeter-long carbon nanotube electrodes and ionic liquid gel

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International Journal of Smart and Nano Materials 2012年第4期3卷 263-274页

作者： kentaro Yamato Ken Mukai Kenji Hata Kinji Asaka Health Research Institute National Institute of Advanced Industrial Science and Technology(AIST)1-8-31 MidorigaokaIkedaOsaka 563-8577Japan Nanotube Research Center National Institute of Advanced Industrial Science and Technology(AIST)Central 51-1-1 HigashiTsukubaIbaraki 305-8565Japan

The development is described of an electromechanical bimorph actuator composed of ionic liquid gel sandwiched by electrochemically treated millimeter-long single-walled carbon nanotubes(SG-SWNT).Electrochemical doping of the SG-SWNT and electrochemical polymerization of polypyrrole on the surface of the SG-SWNT improved the performance of a previously reported actuator using non-treated *** conductivity of the SG-SWNT sheets treated at the anodic potential(doped)was found to be three times larger than that of the original *** generated strain of the actuator prepared from the doped SG-SWNT sheets was increased compared to that prepared from non-doped ***,the generated strain of the actuator from the doped SG-SWNT sheets swelled with ionic liquid(IL)was increased to twice that without *** electropolymerization of pyrrole on the surface of the SG-SWNT sheet was carried *** conductivity of the SG-SWNT was seven times larger after the *** generated strain of the SG-SWNT actuator prepared from the SG-SWNT sheets with electropolymerization was twice as large as that without the electropolymerization at low *** higher frequency,both actuators provide almost the same *** actuators exhibit mechanical resonance at about 100 Hz.

关键词： carbon nanotube polypyrrole electrochemical doping ionic liquid bimorph actuator

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BEACH-Domain Proteins Act Together in a Cascade to Mediate Vacuolar Protein Trafficking and Disease Resistance in Arabidopsis

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Molecular Plant 2015年第3期8卷 389-398页

作者： Ooi-kock Teh Noriyuki Hatsugai kentaro Tamura kentaro Fuji Ryo Tabata Katsushi Yamaguch Shuji Shingenobu Masashi Yamada Mitsuyasu Hasebe Shinichiro Sawa Tomoo Shimada Ikuko Hara-Nishimura Graduate School of Science Kyoto University Sakyo-ku Kyoto 606-8502 Japan Research Centre for Cooperative Projects Hokkaido University Kita-ku Sapporo 060-8638 Japan Graduate School of Science and Technology Kumamoto University Kumamoto 860-8555 Japan Functional Genomics Facility National Institute for Basic Biology Okazaki 444-8585 Japan Department of Biology and IGSP Center for Systems Biology Duke University Durham NC 27708 USA Division of Evolutionary Biology National Institute for Basic Biology Okazaki 444-8585 Japan School of Life Science The Graduate University for Advanced Studies Okazaki 444-8585 Japan Present address: Department of Plant Biology and Forest Genetics Uppsala BioCenter Swedish University of Agricultural Sciences (SLU) and Linnean Centre ofPlant Biology Uppsala SE-75007 Sweden present address: Microbial and Plant Genomics Institute University of Minnesota St Paul MN 55108 USA Present address: RIKEN Innovation Center RIKEN 2-1 Hirosawa Wako Saitama 351-0198 Japan

Membrane trafficking to the protein storage vacuole （PSV） is a specialized process in seed plants. However, this trafficking mechanism to PSV is poorly understood. Here, we show that three types of Beige and Chediak-higashi （BEACH）-domain proteins contribute to both vacuolar protein transport and effector- triggered immunity （ETI）. We screened a green fluorescent seed （GFS） library of Arabidopsis mutants with defects in vesicle trafficking and isolated two allelic mutants gfs3 and gfs12 with a defect in seed pro- tein transport to PSV. The gene responsible for the mutant phenotype was found to encode a putative pro- tein belonging to group D of BEACH-domain proteins, which possess kinase domains. Disruption of other BEACH-encoding loci in the gfs12 mutant showed that BEACH homologs acted in a cascading manner for PSV trafficking. The epistatic genetic interactions observed among BEACH homologs were also found in the ETI responses of the gfs12 and gfs12 bchb-1 mutants, which showed elevated avirulent bacterial growth. The GFS12 kinase domain interacted specifically with the pleckstrin homology domain of BchCl. These results suggest that a cascade of multiple BEACH-domain proteins contributes to vacuolar protein transport and plant defense.

关键词： BEACH-domain protein Arabidopsis thaliana vacuolar protein transport protein storage vacuoles,plant immunity

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Removal of competitive native species combined with tree planting can accelerate the initial afforestation process: an experiment in an old field in Japan invaded by dwarf bamboo and kudzu

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Journal of Forestry Research 2015年第3期26卷 581-588页

作者： Yoshinori Tokuoka kentaro Ohigashi Koji Watanabe Hiroshi Yamaguchi Takahiro Ara Nobukazu Nakagoshi Biodiversity Division National Institute for Agro-Environmental Sciences 3-1-3 Kannondai TsukubaIbaraki 305-8604 Japan Ecosystem Informatics Division National Institute for Agro-Environmental Sciences 3-1-3 Kannondai TsukubaIbaraki 305-8604 Japan Experimental Farm Management Division National Institute for Agro-Environmental Sciences 3-1-3 KannondaiTsukuba Ibaraki 305-8604 Japan Graduate School for International Development and Cooperation Hiroshima University 1-5-1 KagamiyamaHigashi-Hiroshima 739-8529 Japan

Restoring natural forests after field abandon- ment is a land management objective that fosters the re- covery of forest biodiversity. We performed seeding and transplanting of native tree species 40 years after the abandonment of an arable field that became dominated by a dwarf bamboo （Pleioblastus chino （Franch. et Sav.） Makino） and by kudzu （Pueraria lobata （Willd.） Ohwi）. By permutation tests, the removal of competing vegetation （gap creation） significantly increased the survival of three seeded species of Fagaceae and of eight transplanted spe- cies. In contrast, intact vegetation prevented most indi- viduals of all species from surviving for 1 year after planting. The lack of natural recruitment of Fagaceae in the nonseeded subplots indicated that seed limitation was a cause of the slow afforestation. Although litter accumula- tion in gaps at the time of seeding slightly increased sur- vival for late-germinating Quercus myrsinifolia Blume andCastanopsis sieboldii （Makino） Hatus. ex T. Yamaz. et Mashiba, the effect was not consistent among plots and was not statistically significant. Our results suggest that for successful afforestation using native trees in abandoned fields, it will be necessary to remove competitive native species to avoid severe limitations on microsite availability and that simultaneous tree establishment by seeding or transplanting should be implemented to accelerate the establishment of native tree species.

关键词： Farmland abandonment - Micrositelimitation Pleioblastus chino Pueraria lobata Treeseedling

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