Effect of Salivation by Facial Somatosensory Stimuli of Facial Massage and Vibrotactile Apparatus

We studied the effects of salivary promotion of fluid secretion after hand massage, and the apparatus of vibrotactile stimulation (89 Hz frequency, 15 min) in normal humans. Personal massage cannot be performed on handicap and stroke patients, and then giving hand massage to them for 5 min massage gives a tired feeling. So, we focused 3 min stranger massage. Salivary glands can discharge the accumulated saliva by extrusion from the acinus glands’ massages as described in the recent Japanese textbook. We think that this method may not produce realistic recovery. Our aim ideas are to relieve stress and increase temperature with lightly touch massage of the skin and for a 1 cycle of 1 s. We recorded RR interval of ECG, total salivation, facial skin temperature, OxyHb of fNIRS on the frontal cortex, and amylase activity for the autonomic changes. In increased 2°C of the facial skin temperature, the hand massage had a need for 3 min and the vibrotactile stimulation for 15 min. Increase from 700 to 1000 ms of RR intervals had a need for 3 min in the hand massage and had 15 min in the vibrotactile stimulation. Although vibrotactile stimulation needs long time of 4–7 years as effective recovery, hand massage may have more effect with a repetition of day after day

Salivary Effects of Facial Vibrotactile Stimulation in Patients with Sjogren’s Syndrome and Poor Salivation

We examined the effect of vibrotactile apparatus in patients with Sjögren’s syndrome and others with reduced salivation in comparison to normal subjects. The most effective salivation in normal subjects was produced by 89 Hz vibrotactile stimulation with 9.8 μm amplitude on the parotid or submandibular glands vibrotactile stimuli. First, we examined by measuring the weight of dental cotton rolls positioned at the opening of the secretory duct for total salivation 3 min during resting, and then after 5-min intervals, the weights were measured every 3 min of vibrotactile stimulation on salivary glands. Furthermore, we measured facial temperature around vibrators after 2 min of vibration. We investigated 10 poor salivation patients with Sjögren’s syndrome (8 patients) defined by examinations (contrast study or scintigraphic test) and others (2 patients). About 50% of patients with poor salivation gained recognition for good results, although they had periods of short-term (3 months) and long-term effects (6–7 years) during recuperation. Furthermore, facial skin temperatures on both sides of parotid glands were decreased in Sjogren’s syndrome after vibration, although their temperatures were increased following recovery. Although the mechanism is not clear, we think that vibrotactile stimulation gives activation to salivary glands under the rising facial temperature

実習における介護計画記録と毎日の計画実践記録の様式と記載方法の試案

介護の質を向上させるために必要不可欠な介護過程であるが,介護においてはまだ十分に普及し活用されていないのが現状で,介護過程をどのように学ばせるかといった教材はまだまだ不足しているように思われる。2年間という限られた時間に効果的に介護過程教育を行うために介護計画記録と毎日の実践記録の様式と記載方法を試案したのでその内容を報告する

介護学生の自己教育力と職業意識の分析

学生の自己教育力と介護職職業意識を高める目的で新見公立短期大学地域福祉学科学生に自己教育力と介護職職業意識を調査し,自己教育力の学年別の状況,介護職職業意識の学年間比較,自己教育力の程度と介護職職業意識の関連について検討した。その結果,自己教育力は(1)自己の成長・発展の要素が最も高く,(3)自信・プライド・安定性の要素で低くかった。また,2年生が1年生より低かった。介護職職業意識では,a 職業人としての自己向上の要素で点数が最も高い傾向であり,c 職業的自己関与で低い傾向であった。全体的に2年生が1年生より低かった。自己教育力の高群の1年生は2年生より職業意識が高い設問が多かった。これらは2年生の1年間の学習や実習体験が影響していると考えられ,職業アイデンティティ確立の2の段階である"現実を知りショックを受けた"段階であると思われる。学生の職業アイデンティティ確立の段階を知りサポートすることが重要である。自己教育力の低群の2年生は1年生より有意に高い設問数が多かった。そのことは1年間の介護実習等の学習体験の影響が高群者より大きいのではないかと考えられた

Evaluation of Bone Mineral Density in Proximal Region of Femur by Dual Energy X-ray Absorptiometry

The bone mineral density（BMD）of the proximal region of femur specimens was measured by dual-energy X-ray absorptiometry （DXA）.BMD measurement of proximal femur by DXA was influenced according to the depth of water by way of the body thickness. The BMD of the Ward’s triangle，and then the trochanteric area was significantly lower detected than the femoral neck through the depth of water. Notable error occured at 28 cm or more depth of water.　The BMD of the femoral neck was not almost affected by the position of the hip from neutral to internal rotation. The position from neutral to external rotation of the hips is desirable as the limb position for DXA. The BMD of femoral neck is thought to be appropriate for the diagnosis of osteoporosis and detection of a risk factor of femoral neck fracture

Facial Vibrotactile Stimulation Activates the Parasympathetic Nervous System: Study of Salivary Secretion, Heart Rate, Pupillary Reflex, and Functional Near-Infrared Spectroscopy Activity

We previously found that the greatest salivation response in healthy human subjects is produced by facial vibrotactile stimulation of 89 Hz frequency with 1.9 μm amplitude (89 Hz-S), as reported by Hiraba et al. (2012, 20011, and 2008). We assessed relationships between the blood flow to brain via functional near-infrared spectroscopy (fNIRS) in the frontal cortex and autonomic parameters. We used the heart rate (HRV: heart rate variability analysis in RR intervals), pupil reflex, and salivation as parameters, but the interrelation between each parameter and fNIRS measures remains unknown. We were to investigate the relationship in response to established paradigms using simultaneously each parameter-fNIRS recording in healthy human subjects. Analysis of fNIRS was examined by a comparison of various values between before and after various stimuli (89 Hz-S, 114 Hz-S, listen to classic music, and “Ahh” vocalization). We confirmed that vibrotactile stimulation (89 Hz) of the parotid glands led to the greatest salivation, greatest increase in heart rate variability, and the most constricted pupils. Furthermore, there were almost no detectable differences between fNIRS during 89 Hz-S and fNIRS during listening to classical music of fans. Thus, vibrotactile stimulation of 89 Hz seems to evoke parasympathetic activity