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Exploring factors that motivate nursing students to engage in skills practice in a laboratory setting:A descriptive qualitative design

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International Journal of Nursing Sciences 2021年第1期8卷 79-86,I0006页

作者： Yoko Nakayoshi Miyuki Takase Mayumi Niitani Takiko Imai Mari Okada kumiko yamamoto Yuri Takei School of Nursing Yasuda Women’s UniversityJapan School of Nursing Prefectural University of HiroshimJapan Division of Health Science Graduate School of MedicineOsaka UniversityJapan

Objectives:The aim of this study was to explore factors that motivate students to engage in skills practice in a laboratory setting,and to identify their motivation types and the regulatory ***:Semi-structured interviews were conducted with 23 nursing students from three universities between November 2017 and January 2018.A thematic analysis was used to identify factors associated with students’motivation to engage in skills practice in a *** types and the regulatory styles of student motivation were identified based on the self-determination ***:Seven motivating factors were *** factors included the students’desire“to acquire the skills necessary to work as a nurse”,the“desire to improve skills in preparation for clinical practicum”,and their felt“obligations to patients as a nurse”.Moreover,“the impetus to study arising from the objective evaluation of oneself and others”and“wanting to pass the skills examination”motivated the students to engage in skills practice.A“learning environment that facilitates students’learning”and the“supportive involvement of educators”facilitated their *** on the self-determination theory,the students were found to embrace extrinsic motivation with four regulatory styles of motivation,namely integrated,identified,introjected,and external ***:Nurse educators should understand the motivating factors of students,and help students embrace a more internally controlled motivation by helping them envision their future careers as nurses,and by fostering their ethical duty to care for patients.

关键词： Laboratories Learning Motivation Nursing students Clinical competence

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Factors associated with intention to undergo specific health guidance among Japanese workers using health belief model

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Open Journal of Preventive Medicine 2012年第2期2卷 183-189页

作者： kumiko yamamoto Marie Mizoshita Rie Akamatsu Graduate School of Humanities and Sciences Ochanomizu University Tokyo Japan

Objectives: To examine the factors associated with the intention to undergo “specific health guidance”. Methods: Self-reported questionnaire data were collected from 4861 health insurance union members of a company in Japan from August to September 2010. The information gathered included the intention to undergo “specific health guidance,” the Health Belief Model (HBM) subcomponents (perceived severity, susceptibility, benefit, and barriers), other factors related to undergoing specific health guidance, sex, and age. Perceived threat and net benefit were the main HBM components. Bivariate and multivariate logistic regression analyses were used to assess the associations between intention and the main HBM components, i.e., perceived threat and net benefit. We used two models with intention as the dependent variable;Model 1 used four HBM subcomponents, and Model 2 used perceived threat and net benefit as independent variables. Results: A total of 3457 individuals answered all variables (response rate;71.1%). Perceived severity (OR: 1.83, 95%CI: 1.59 - 2.10), benefit (OR: 6.91, 95%CI: 5.94 - 8.04), barriers (OR: 0.11, 95%CI: 0.09 - 0.13), perceived threat (OR: 1.52, 95%CI: 1.31 - 1.76), and net benefit (OR: 11.28, 95%CI: 9.60 - 13.25) were related to intention (all p < 0.01). Multivariate analysis showed that net benefit (OR: 11.23, 95%CI: 9.55 - 13.20) had a stronger correlation with intention than did perceived benefit (OR: 4.67, 95%CI: 3.95 - 5.51) and barriers (OR: 0.15, 95%CI: 0.13 - 0.18) (all p < 0.01). Conclusions: The results suggested that the main HBM components may predict health behavior better than the subcomponents. These results may effectively promote the benefits of, and reduce barriers to, programs aiming to increase participation in specific health guidance.

关键词： Patient Participation Health Belief Model Net Benefit Japanese Health Guidance

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Relationships between Tongue and Lip Movement and Physical Fitness among Independent Community-Dwelling Elderly in Japan

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Advances in Aging Research 2020年第2期9卷 32-44页

作者： Junko Ouchi Yuko Hayashi Michiko Matsubara Kaoru Fukura kumiko Miyata Michiyo yamamoto Department of Nursing Faculty of Health Sciences Hokkaido University of Science Sapporo Japan

Aim: The present study aims to examine the association between tongue and lip movement and physical fitness with a sample of independent community-dwelling elderly. Methods: A total of 119 older adults living in a city of Japan participated in this study. Tongue and lip movement was evaluated with oral diadochokinesis (ODK) rate for the syllable “pa”, “ta”, and “ka” measured by counting syllable repetitions within one second. Physical fitness was objectively evaluated with the Timed-Up and Go Test (TUG) and the 30-Second Chair Stand Test (CS-30). Subjective physical fitness was also assessed with a Physical Component Summary score (PCS) of the 36-item Short-Form Health Survey (SF-36). Partial correlation coefficients between ODK rates and physical fitness measures were obtained after adjusting the effects of age and the number of present teeth. Results: There were significant differences in ODK rates for the syllable “ta” and “ka” between the participants aged 65 - 74 and 75 or older. Significant differences in all the physical fitness measures were also observed in the two age groups. Partial correlation analysis with age and number of present teeth as covariates yielded significant correlations of ODK rates to TUG and PCS, but not with CS-30. Conclusion: Older adults whose functional mobility declined tended to maintain the movement of tongue and lips. Moreover, those who perceived declining physical fitness also tended to show a decline of tongue and lip movement. Thus, the present study added some knowledge on the relationships between general physical fitness and tongue and lip movement. It also made several suggestions for future interventions based on the findings.

关键词： Tongue and Lip Movement Oral Diadochokinesis Physical Fitness El-derly

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Metastatic sarcomatoid renal cell carcinoma to the mandible treated with Sorafenib

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Open Journal of Stomatology 2012年第3期2卷 222-227页

作者： Kazuhiro Murakami Kazuhiko yamamoto kumiko Aoki Ikuyo Fukumoto Tsutomu Sugiura Tadaaki Kirita Department of Oral and Maxillofacial Surgery Nara Medical University Kashihara Japan

A case of metastatic sarcomatoid renal cell carcinoma to the mandible treated with Sorafenib is reported. A 76-year-old man consulted us for hyposthesia of the right lower lip. Panorama X-ray film showed a ra-diolucent lesion in the right mandibular body. A diagnosis of metastatic tumor to the mandible from the left kidney was made after evaluation by computed tomography and positron emission tomography, which also revealed multiple bone metastases. After radiotherapy for mandibular and thoracic lesions, nephrectomy was performed. Histological diagnosis was sarcomatoid renal cell carcinoma. Interferon therapy was performed but was not effective;therefore, a molecular targeted drug, Sorafenib, was administered. Sorafenib effectively inhibited the growth of oral and other metastatic lesions for 10 months. Quality of life was relatively well maintained with tolerable adverse effects. The patient survived for as long as 2 years after appearance of the first symptom.

关键词： Sarcomatoid Renal Cell Carcinoma Oral Metastatic Lesion Molecular Targeted Therapy Sorafenib

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Metastatic sarcomatoid renal cell carcinoma to the mandible treated with Sorafenib

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Open Journal of Stomatology（口腔学期刊） 2012年第3期

作者： Kazuhiro Murakami Kazuhiko yamamoto kumiko Aoki Ikuyo Fukumoto Tsutomu Sugiura Tadaaki Kirita

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