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( Mayumi Toyama ),( Yasuyuki Okuma ),( Mitsutoshi Yamamoto ),( Kenichi Kashihara ),( Kazuto Yoshda ),( Hidemoto Saiki ),( Tetsuya Maeda ),( Yoshio Tsuboi ),( Takeo Nakayama ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Parkinson`s disease (PD) is increasingly recognized as multidimensional disorder. In addition to classic motor symptoms, patients have a variety of non-motor symptoms (NMS) that substantially affect quality of life (QoL). However, the prevalence of NMS and the relative impact of non-motor symptoms on QoL in PD have not been well documented in Japanese PD patients. In this study, we have the following objectives: 1) To determine the prevalence of NMS in Japanese PD patients. 2) To study the impact of NMS on the QoL in Japanese PD patients. Methods: This was a multi-center cross-sectional epidemiologic study. We recruited outpatients from seven Neurology departments at general hospitals across Japan between October 2010 and September 2011. A total of 824 Japanese PD patients was included in this study. NMS of patients was evaluated by Non-Motor Symptoms Scale (NMSS). Parkinson`s Disease Questionnaire-39 (PDQ-39) was used to evaluate the QoL of PD patients. Multivariate analyses were used to evaluate the direct impact of NMSs on QoL using PDQ-39, after adjusting for age, sex, disease duration, and the Unifi ed Parkinson`s Disease Rating Scale (UPDRS) Part I, Part II, Part III and Part IV. Results: The mean of total NMSS score was 37.4±35.4. The highly prevalent NMSS domains were sleep/fatigue (87.6%) and urinary (86.1%). The highly prevalent NMSS items were nocturia (72.0%) and constipation (71.6%). In multivariate analyses after adjustment for age, sex, disease duration, UPDRS Part I, Part II, Part III, and Part IV, total score of NMSS has statistical signifi cance with PDQ-39 (p=0.00, ß=0.16, Adj-R squared=0.65). Conclusions: NMS were highly prevalent in Japanese PD patients. NMS have a direct negative impact on QoL in Japanese PD patients.
Sustainable Park Management with Citizen Participation of the Awaji Island Regional Park
Mayumi Hayashi Korean Institute of Landscape Architecture 2004 Journal of the Korean institute of landscape archi Vol.2 No.-
Many efforts have been made to improve the management of large-scale green spaces. How to manage large-scale green spaces and their active uses, as well as how to build relationships with local communities have been important issues. For this research, I reviewed the actual status of management, use and citizen participation at large-scale regional parks in Hyogo Prefecture. In addition, I studied the sustainable management through citizen participation of the Awaji Island Regional Park, where I have been involved for several years. I conducted various projects related to the use and management of the park, and examined the direction of citizen participation by conducting questionnaires and interviews. (1) Through interviews about the park, I collected opinions, including good points, problems, and potential solutions through physical and programming measures. (2) I examined what kinds of activities should be conducted in the park in order to revitalize park use and stimulate the surrounding communities. (3) I examined the current status of citizen participation while citizens carried out activities of their own planning. (4) I studied what is necessary to sustain park events and other activities. As a result, I came to the following conclusions. (1) Provision of information that is easy to access, including signs in the park, explanation of routes in large parks, and other techniques that help people become familiar with park facilities, is very important. (2) Local community events, and programs that draw out the willingness and capabilities of volunteers are effective. (3) Several different types of participation exist, including volunteers, guests, staff who work continuously for the project, coordinators, and professional specialists. (4) To sustain citizen involvement in the use and management of large-scale parks, a system that includes coordinators should be developed.
Mayumi Mimura,Sachiko Kitano,Katsunobu Yoshitomi,Hiroaki 환태평양유아교육연구학회 2009 Asia-Pacific journal of research in early childhoo Vol.3 No.1
The vocal pitch matching ability is one of the most important abilities in music education. This study focuses on children’s development of the vocal pitch matching ability. Children of 4- and 5-year-olds in two kindergartens, and one class of the first 3 grades of the elementary school listened to musical tones and were asked to reproduce by singing what they had heard. The types of musical inputs were (1) piano sounds; (2) female singing voice sounds; and (3) chants with female singing voice sounds. As for the results, (3) input led to the best answer and the second best was (2). It was easier for children to match the pitch with voice sounds inputs with meaning. Children’s pitch matching ability was higher in the kindergarten offering music activities intentionally. From the study, the importance of developing a system- atic music transition program for children to improve their music ability is suggested.
( Mayumi Shimpuku ),( Seiji Futagami ),( Natsuki Tajima ),( Hiroshi Yamawaki ),( Yuuta Maruki ),( Yasuhiro Kodaka ),( Hiroyuki Nagoya ),( Katya Gudis ),( Tetsuro Kawagoe ),( Choitsu Sakamoto ) 대한소화기기능성질환·운동학회 2014 Journal of Neurogastroenterology and Motility (JNM Vol.20 No.4
Background/Aims There is no available data on factors associated with healthcare-seeking behavior for functional dyspepsia (FD) symptoms at either tertiary or primary clinics in Japan. Therefore, we aimed to compare clinical symptoms and life styles such as sleep disorders and eating attitude in FD patients visiting general practitioners at primary clinics with those consulting gastroenterologists at tertiary clinics to clarify healthcare-seeking patterns in Japanese patients. Methods Fifty-one FD outpatients in a tertiary clinic (college hospital), 50 FD outpatients visiting primary clinics and 50 healthy volunteers were enrolled. Clinical symptoms, quality of life, sleep disorders, eating attitude and anxiety were estimated using the Gastrointestinal Symptom Rating Scale (GSRS), Social Functioning-8 (SF-8) test, Pittsburg Sleep Quality Index (PSQI) test and State-Trait Anxiety Inventory (STAI) for FD outpatients and healthy volunteers. Results FD outpatients exhibited higher mean scores of GSRS than healthy volunteers. The SF-8 physical component summary scores in the tertiary clinic group were significantly lower than those in the primary clinic group. GSRS scores were significantly (P < 0.001, P = 0.002) associated with global PSQI scores in FD outpatients as well as with STAI-trait scores (P = 0.006, P = 0.001) compared to healthy volunteers. The frequency of eating between meals in the primary clinic group was significantly (P < 0.05) higher than that in the tertiary clinic group.Conclusions It may be important for clarification of healthcare-seeking behavior to determine the difference in both impairment of physical quality of life and eating attitudes between tertiary clinic and primary clinic FD outpatients in Japan.