A Study on the works of head nurse assistants in Niigata prefectural hospitals

新潟県内病院の婦長補佐業務内容について,現場で実践している業務内容を分析した.対象は新潟県内において婦長補佐業務を行っている看護婦404名であった.この結果,補佐歴,夜勤日数,医師および看護補助員数,補佐職の業務規則明記の有無によって婦長補佐業務業は,婦長代行,教育,診療の援助,直接看護のいづれかの業務量が多くなる傾向になることが示唆された.これらの傾向について婦長代行および補佐業務,あるいはチームの一員として看護を実践しながらの補佐業務の,いずれの傾向を主に補佐職へ期待するかを病院・看護部の目標から決定し,病院環境を整え,補佐業務を明記してリーダーシップを有効に発揮させることは,看護の質を向上させることになると考えられる.The purpose of this study was to investigate the works of head nurse assistants in Niigata prefectural hospitals. We studied 404 subjects, who were working of head nurse assistants in Niigata prefec-tural hospitals. The results indicated that they has tendency to actings of head nurses, medical examinations and treatment assistants, educations and nursing, is caused by there history of head nurse asissutants, the day of night works, the member of doctors and nurse's aides, keeping in a rule of the hospital. There tendency were necessary to choice in nursing service admistration. It will be to improvement in nursing that duty of head nurse assistant is got put to right of contents, with authority in a hospital and made good use of the leadership.departmental bulletin pape

Comparison of erector spinae muscle activity and center of body mass variability between forward and backward walking

Backward walking is often used in rehabilitation to improve balance, although it differs biomechanically from forward walking. This study investigated the variability of the center of mass movement and the intensity of erector spinae muscle activity during backward walking and forward walking. The analysis included intra-participant variability (one participant performed 10 trials each of forward walking and backward walking) and inter-participant variability (eight participants each performed one trial of forward walking and backward walking). The results showed that center of mass was positioned higher and exhibited greater variability during backward walking, particularly in the single support phase. In contrast, erector spine muscle activity did not consistently increase during backward walking, and the timing of muscle activation differed between backward walking and forward walking. While backward walking requires unique postural control strategies and dynamic balance adjustments, it does not therefore necessarily lead to increased erector spine muscle activation.ORIGINAL ARTICLEarticl

Predicting disease progression in progressive supranuclear palsy in multicenter clinical trials

INTRODUCTION: Clinical and MRI measurements can track disease progression in PSP, but many have not been extensively evaluated in multicenter clinical trials. We identified optimal measures to capture clinical decline and predict disease progression in multicenter PSP trials. METHODS: Longitudinal clinical rating scales, neuropsychological test scores, and volumetric MRI data from an international, phase 2/3 clinical trial of davunetide for PSP (intent to treat population, n = 303) were used to identify measurements with largest effect size, strongest correlation with clinical change, and best ability to predict dropout or clinical decline over one year as measured by PSP Rating Scale (PSPRS). RESULTS: Baseline cognition as measured by Repeatable Battery for Assessing Neuropsychological Status (RBANS) was associated with attrition, but had only a small effect. PSPRS and Clinical Global Impression (CGI) had the largest effect size for measuring change. Annual change in CGI, RBANS, color trails, and MRI midbrain and ventricular volumes were most strongly correlated with annual PSPRS and had the largest effect sizes for detecting annual change. At baseline, shorter disease duration, more severe depression, and lower performance on RBANS and executive function tests were associated with faster worsening of the PSPRS in completers. With dropouts included, SEADL, RBANS, and executive function tests had significant effect on PSPRS trajectory of change. CONCLUSION: Baseline cognitive status and mood influence the rate of disease progression in PSP. Multiple clinical, neuropsychological, and volumetric MRI measurements are sensitive to change over one year in PSP and appropriate for use in multicenter clinical trials