Research of Child Care Support for Female Doctors in Hiroshima Prefecture : Types of child care support working mothers have had access to and what they think about them

In recent years, the number of female doctors passing the National Medical Practitioners Qualifying Examination has increased. Despite the introduction of various official child care support systems, many female doctors still resign after giving birth. In this study, we interviewed 9 female doctors in Hiroshima Prefecture and analyzed the types of child care support they have had access to and what they think about them. We found female doctors face three primary obstacles in continuing their medical careers after motherhood. The child care support systems fail to provide adequate support 1) when the child is sick or in cases of emergency, 2) when the child enrolls in elementary school, and 3) with consideration for each doctor’s career plan. We suggest university medical courses include instruction on the child care support systems not only for female students but also for male students as well. Finally we argue child care support systems should be regarded as a whole hospital initiative

Construction of Childcare Support Program for two-children families: From Cooperation with Higashi-Hiroshima City Childcare Support Centers

The purpose of this study was to construct a childcare support program for the families who have two children to bring up. With the assistance of Higashi-Hiroshima city and childcare support centers, members from early childhood education research facility in Hiroshima University built up the program. In this program, it is demanded that the supporters draft the program while being conscious of four times, specifically approach-time, core-time, free-time and feedback-time. And this program also has four main components including topics, leaflet, picture books and reflection sheets. According to the practice, supporters can not only grow up with mothers and children by making use of their childcare specialty, but also can build a relationship of mutual trust with the participants. Besides, the support of the high quality is maintained by the collaboration of Higashi-Hiroshima city and childcare support centers and Hiroshima University.本研究は平成29年度「広島大学地域連携推進事業」に提案した「地域における虐待防止ペアレントトレーニングの効果検証－親が抱えるリスク要因の低減を目指して－」という研究の一環として，東広島市子ども家庭課の協力で実施したものである

Effects of monthly intravenous ibandronate on bone mineral density and microstructure in patients with primary osteoporosis after teriparatide treatment: The MONUMENT study

Purpose: To investigate the effects of sequential therapy with monthly intravenous ibandronate on bone mineral density (BMD) and microstructure in patients with primary osteoporosis who received teriparatide treatment. Methods: Sixty-six patients with primary osteoporosis who had undergone teriparatide treatment for more than 12 months (mean 18.6 months) received sequential therapy with 1 mg/month intravenous ibandronate for 12 months. The patients were evaluated using dual-energy X-ray absorptiometry (DXA), quantitative ultrasound, bone turnover markers, and high-resolution peripheral quantitative computed tomography (HR-pQCT) at baseline and 6 and 12 months after beginning administration. Results: At 12 months after beginning sequential therapy,the bone resorption marker, tartrate-resistant acid phosphatase-5b, decreased by 39.5%, with 82.3% of the patients exhibiting levels within the normal limit. DXA revealed that the BMD of the lumbar spine increased by 3.2%, with 79.0% of the patients exhibiting a response, and 40.3% experiencing an increase in BMD over 5%. HR-pQCT revealed that the cortical thickness of the distal tibia was increased by 2.6%. The cortical area increased by 2.5%, and the buckling ratio (an index of cortical instability) decreased by 2.5%. Most parameters of the trabecular bone showed no significant changes. These changes in the cortical bone were observed in both the distal radius and tibia and appeared beginning 6 months after treatment initiation. Conclusions: Sequential therapy with monthly intravenous ibandronate increased the BMD and improved the cortical bone microstructure of osteoporotic patients who had undergone teriparatide treatment

The Relationship between Individual Difference in Repressive Stles and Grief Reaction Coping Behaviors, and Onset of Pathological Grief, Anxiety and Mood Disorders after Child Loss

We examined the relationship between parental repressive styles, grief reaction/post-bereavement coping behavior and psychiatric symptoms in parents who had lost young children, In Study I, we administered a set of questionnaires to a sample of 177 parents who had experienced bereavement of children within the past several years in order to inquire about grief response, coping behavior, repressive styles, and social support .After controlling for sex, age, income, and self esteem, 1) subjects who had high anxiety (sensitizer and repressive-anxiety) showed stronger grief response whereas those with low anxiety (repressor and low-anxiety) showed weak response; 2) repressors were more likely to accept death and resolute grief after the loss than others; 3) those who had higher anxiety were more likely to ruminate after death; and 4) sensitizers were less likely to satisfy perceived social support. In Study II we interviewed 60 bereaved parents using a semi-structured diagnostic interview schedule to yield diagnoses of the parents based on the Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV). Parents with repressive-anxiety were more likely to manifest pathological grief and those parents recognized as sensitizers were more likely to have an onset of DSM-IV Major Depression or Social Phobia after the child\u27s death.抑圧様式と悲嘆反応、死別後の対処行動、精神症状との関連性について検討した。研究Iでは幼い子どもと死別した親177名を対象に悲嘆反応、対処行動、抑圧様式、ソーシャルサポートを測定した。性別、年齢、収入などを統制し分析した結果、①不安水準の高い sensitizer, repressive Anxiety 各群では悲嘆反応が強心不安水準の低い repressor, low-anxiety各群では悲嘆反応が弱い、②repressor群では悲嘆がすでに解決したことと認知し、死別体験を肯定的に捉える傾向が強い、③不安水準が高いと死別後に内的に考え込む対処を多く行う、④sensitizer群では知覚されたソーシャルサポートに対する満足度が低い傾向にあった。研究IIでは60名に半構造化面接を行い、死別後に罹患した精神疾患の診断を行った。その結果，⑤病的悲嘆はrepressive- anxiety傾向と，⑥大うつ病性障害や社会恐怖はsensitization傾向とそれぞれ関連することが示された

The Measurement of Grief and Coping after Loss of a Child

We administered Grief Response Scale (GRS), Japanese translation of "Core Bereavement Items," and a set of newly developed coping　behavior items (Scale for Coping with　Bereavement; SCB) to 48 fathers and 127　mothers who experienced the loss of a child within several years. Although a confirmatory factor analysis of GRS did not support the original seven-factor model byBurnett et al., an exploratory factor analysis yielded four factors: lmage and sorrow, Sense of presence， Non-resolution and conflict, and Resolution of grief. Grief reaction was significantly greater in mothers than in fathers. An exploratory factor analysis of SCB produced five factors: Distraction, Ruminative response, A cceptance and overcome, Support-seeking behavior, and Religious activity and existential meaning. As compared to fathers, mothers ruminated, sought support from others, and had religious activity more frequently. These results suggest that different aspects of grief were related with coping with bereavement after controlling for age, sex, income, and level of manifest anxiety

環境配慮型生活における生活質感評価法の研究Ｉ : 生活モデル模索への覚書

The present thesis reports of the activities of a Team project“ Assessment Project for Criteria for Human Life Quality”， established by several members of the Department of Life Environmental Sciences. Preliminary research was mainly conducted in areas of consumer products use， housing facilities， as well as the cultivation of public opinion and attitudes towards low energy life. The high accumulation of systems and functions， the rational and rigid differentiations of tasks and areas， typical of city life， aggravate the alienation of the individual and accelerate the consumption rate of material and energy resource. Further research is necessary， therefore， to relocate the areas in which the needs for privacy and property can be reformulated to embrace a more organic and cyclic concept of life

Emotional Labor as an Early Childhood Teacher Strategy : From the Analysis of a Class of Three-Year-Old Kindergarten Students

The purpose of this study is to discuss professionalism in early childhood education and care, as seen in classroom practice related to three-year-old students, with the examination focusing on the following points : (1) we clarify emotional labor as the early childhood teaching strategy ; and (2) we compare the elementary school teacher and the early childhood teacher in terms of the emotional labor strategy. For the methodology, we used a video camera to collect episodes of the emotional labor strategy being used in early childhood teaching, and then examined each one. The results of the study are as follows : (1) the main classroom teacher smiled and intentionally expressed emotions during "circle time," controlling the young children through proper emotional expression ; (2) the sub-classroom teacher developed a relationship with each child by not expressing her intentions directly ; and (3) while each other's opinions made a difference, the school nurse and the sub-classroom teacher expressed their emotions as an educational performance