Adaptive challenges of curriculum implementation for enhancing medical student resilience at Showa University in Japan

It has been consistently reported that medical students experience a high rate of psychological morbidity, depersonalization, and low personal accomplishment around the world. Under the circumstances, resilience-enhancing programs have been gathering attention and partially implemented even in Japan. However, most of the programs just imitate resiliency programs in North America even though studies have indicated that there are cultural differences between East Asia and North America in the capacity to cope with a stressful situation. The presenters investigated what factors might affect the similarities or differences in the perception of resilience among experienced palliative care physicians in Canada and Japan in 2017-2018. This study showed that Japanese physicians are more likely to rely on “Relationships” with other persons such as family members, friends, mentors or colleagues; in contrast, Canadian physicians tended to be more focused on individual factors such as “Autonomy” and “Confidence”. As a result, the presenters at Showa University School of Medicine in Japan have implemented a progressively advancing resiliency program in a passed manner for the 1st through 6th year medical students as part of a new curriculum. This represents one of the most drastic revisions of curriculum in the school’s history. This presentation will introduce a course for resiliency programs as part of a new curriculum, including course description, course content, educational objectives, instructional strategies and the tips for the classroom teaching and learning. &nbsp

Culturally-adapted resilience-building curriculum for medical students: a comprehensive approach at Showa University School of Medicine, Japan

The growing prevalence of psychological morbidity, depersonalization, and low personal accomplishment among medical students underscores the need for resilience-enhancing programs tailored to their specific needs. Incorporating cultural perspectives and societal context into these interventions is crucial to ensure their effectiveness and relevance. In response, Showa University School of Medicine in Japan has pioneered a culturally-adapted, resilience-based curriculum for medical students from their first through sixth years since 2020. This presentation will outline the comprehensive framework of the resilience-focused curriculum, including course objectives, content, learning resources, timetables, and pedagogical approaches. Key components of the curriculum encompass self-assessment and reflection, stress management strategies, effective communication and conflict resolution skills, and fostering a growth mindset. Additionally, interdisciplinary collaborations with psychology and social work departments provide individual supports and resources for students. Emphasizing the distinct challenges faced by medical students, such as academic stressors, relationships with senior clinical educators, patient and family interactions, and managing errors and burnout, the presentation will highlight the classes on the curriculum, support systems and mentorship programs in promoting mental well-being and resilience. The experiences and outcomes of the 2020-2022 cohorts will be shared, offering valuable insights into the effectiveness of the resilience-building curriculum in the Japanese context. Lessons learned from the implementation process, including challenges faced and strategies employed, will provide practical examples for other medical schools seeking to develop similar programs

A-site Randomness Effect on Structural and Physical Properties of Ba-based Perovskite Manganites

The discovery of novel structural and physical properties in the $A$-site ordered manganite $R$BaMn$_{2}$O$_{6}$ ($R$ = Y and rare earth elements) has demanded new comprehension about perovskite manganese oxides. In the present study, the $A$-site disordered form, $R_{0.5}$Ba$_{0.5}$MnO$_{3}$, has been investigated and compared with both $R$BaMn$_{2}$O$_{6}$ and $R_{0.5}A_{0.5}$MnO$_{3}$ ($A$: Sr, Ca) in the structures and electromagnetic properties. $R_{0.5}$Ba$_{0.5}$MnO$_{3}$ has a primitive cubic perovskite cell in the structure and magnetic glassy states are dominant as its ground state, in contrast to the ordinary disordered $R_{0.5}A_{0.5}$MnO$_{3}$ ($A$: Sr, Ca). In Pr-compounds with various degrees of Pr/Ba randomness at the $A$-sites, the $A$-site disorder gradually suppresses both ferromagnetic and A-type antiferromagnetic transitions and finally leads to a magnetic glassy state in Pr$_{0.5}$Ba$_{0.5}$MnO$_{3}$. A peculiar behavior, multi-step magnetization and resistivity change, has been observed in Pr$_{0.5}$Ba$_{0.5}$MnO$_{3}$. These properties could be closely related to any spatial heterogeneity caused by the random distribution of Ba$^{2 +}$ and $R^{3 +}$ with much different ionic radius.Comment: 9 pages, to be published in J. Phys. Soc. Jpn. 73 Aug. (2004

Magnetism and Structural Distortion in the La0.7Sr0.3MnO3 Metallic Ferromagnet

Neutron scattering studies on a single crystal of the highly-correlated electron system, La1-xSrxMnO3 with x~0.3, have been carried out elucidating both the spin and lattice dynamics of this metallic ferromagnet. We report a large measured value of the spin wave stiffness constant, which directly shows that the electron transfer energy of the d band is large. The spin dynamics, including magnetic critical scattering, demonstrate that this material behaves similar to other typical metallic ferromagnets such as Fe or Ni. The crystal structure is rhombohedral, as previously reported, for all temperatures studied (below ~425K). We have observed new superlattice peaks which show that the primary rhombohedral lattice distortion arises from oxygen octahedra rotations resulting in an R-3c structure. The superlattice reflection intensities which are very sensitive to structural changes are independent of temperature demonstrating that there is no primary lattice distortion anomaly at the magnetic transition temperature, Tc = 378.1 K, however there is a lattice contraction.Comment: Submitted to Phys. Rev. B. (03Aug95) Uuencoded gz-compressed .tar file of Postscript text (12 pages) and 6 figures. Also available by WWW from http://insti.physics.sunysb.edu/~mmartin/ under my list of publications or by e-mail reques

Vitronectin as a micromanager of cell response in material-driven fibronectin nanonetworks

Surface functionalization strategies of synthetic materials for regenerative medicine applications comprise the development of microenvironments that recapitulate the physical and biochemical cues of physiological extracellular matrices. In this context, material-driven fibronectin (FN) nanonetworks obtained from the adsorption of the protein on poly(ethyl acrylate) provide a robust system to control cell behavior, particularly to enhance differentiation. This study aims at augmenting the complexity of these fibrillar matrices by introducing vitronectin, a lower-molecular-weight multifunctional glycoprotein and main adhesive component of serum. A cooperative effect during co-adsorption of the proteins is observed, as the addition of vitronectin leads to increased fibronectin adsorption, improved fibril formation, and enhanced vitronectin exposure. The mobility of the protein at the material interface increases, and this, in turn, facilitates the reorganization of the adsorbed FN by cells. Furthermore, the interplay between interface mobility and engagement of vitronectin receptors controls the level of cell fusion and the degree of cell differentiation. Ultimately, this work reveals that substrate-induced protein interfaces resulting from the cooperative adsorption of fibronectin and vitronectin fine-tune cell behavior, as vitronectin micromanages the local properties of the microenvironment and consequently short-term cell response to the protein interface and higher order cellular functions such as differentiation

What Impact does Physical Education have on Classroom Management?: Focus on a case of a novice teacher in a primary school

This article aims to address the relationship between physical education and classroom managemen of a novice teacher in a primary school. In conclusion, the things of this case study were as follows: (1) As a feature of the novice teacher A, the scores in "Attitude" dimension of physical education class evaluation was high, then learning discipline was retained. However, the scores in "Human Relationship" dimension of class consciousness showed low value, and it turned out that the novice teacher A was suffering from constructing good human relations within the class. (2) From the result of correlation between physical education class evaluation and classroom manegement, there was no strong relationship between physical education and classroom management of the novice teacher A. As a factor, from the interview of the novice teacher A, it was suggested that the image of classroom manegement the novice teacher A intended was not clear

Infrared optical properties of Pr2CuO4

The ab-plane reflectance of a Pr2CuO4 single crystal has been measured over a wide frequency range at a variety of temperatures, and the optical properties determined from a Kramers-Kronig analysis. Above ~ 250 K, the low frequency conductivity increases quickly with temperature; the resistivity follows the form e^(E_a/k_BT), where E_a ~ 0.17 eV is much less than the inferred optical gap of ~ 1.2 eV. Transport measurements show that at low temperature the resistivity deviates from activated behavior and follows the form e^[(T_0/T)^1/4], indicating that the dc transport in this material is due to variable-range hopping between localized states in the gap. The four infrared-active Eu modes dominate the infrared optical properties. Below ~ 200 K, a striking new feature appears near the low-frequency Eu mode, and there is additional new fine structure at high frequency. A normal coordinate analysis has been performed and the detailed nature of the zone-center vibrations determined. Only the low-frequency Eu mode has a significant Pr-Cu interaction. Several possible mechanisms related to the antiferromagnetism in this material are proposed to explain the sudden appearance of this and other new spectral features at low temperature.Comment: 11 pages, 7 embedded EPS figures, REVTeX

Association between self-reported walking speed and calcaneal stiffness index in postmenopausal Japanese women

Background: Osteoporosis and related fractures, a worldwide public health issue of growing concern, is characterized by compromised bone strength and an increased risk of fracture. Here we show an association between self-reported walking speed and bone mass among community-dwelling postmenopausal Japanese women aged 50 years and older. Design; cross-sectional study: Setting and Participants; The survey population included 1008 postmenopausal women 50?92 years of age residing in rural communities. Methods: Self-reported walking speed was ascertained by asking the participants: “Is your walking speed faster than others of the same age and sex?” to which participants responded “yes (faster)” or “no (moderate/slower).” Calcaneal stiffness index was measured. Results: Women with a faster self-reported walking speed were younger and had a lower BMI, higher stiffness index, and higher grip strength than women with a slower walking speed. Multiple linear regression analysis adjusted for age, BMI, grip strength, comorbidity, current smoking, and alcohol drinking status showed a significant association between faster self-reported walking speed and higher calcaneal stiffness index (p < 0.001). Conclusions: Our findings suggest that questionnaires of walking speed may be useful for predicting bone mass and that a fast self-reported walking may benefit bone health in postmenopausal women