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A Model-Based System Development of a Walking Support Wheelchair Robot
Yoshinobu Akimoto,Eri Sato-Shimokawara,Yasunari Fujimoto,Toru Yamaguchi 제어로봇시스템학회 2014 제어로봇시스템학회 국제학술대회 논문집 Vol.2014 No.10
This paper proposes a model-based development method with user model to develop functions of service robots, in consideration of user conditions. The user model in this paper is an independent model, which cooperates with device models and control models, and then it can behave on behalf of actual human, in simulation environments. Therefore, the user model is effective for developing functions of a product which has some risks to hurt human. The authors have been developing functions of electric wheelchair to support persons with gait disturbance. The authors applied this method to the improvement of a rehabilitation assistance function and a development of the safety drive assistance function on the electric wheelchair, for evaluating the functions in design phase, without risk to hurt subjects. As one of the safety drive functions, the authors implemented a function to stop automatically at emergency. And, for the improvement of the rehabilitation assistance function, the authors implemented a sub-function to approach the user.
Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update
Kakehi Shingo,Isono Eri,Wakabayashi Hidetaka,Shioya Moeka,Ninomiya Junki,Aoyama Yohei,Murai Ryoko,Sato Yuka,Takemura Ryohei,Mori Amami,Masumura Kei,Suzuki Bunta 대한재활의학회 2023 Annals of Rehabilitation Medicine Vol.47 No.5
Sarcopenic dysphagia is characterized by weakness of swallowing-related muscles associated with whole-body sarcopenia. As the number of patients with sarcopenia increases with the aging of the world, the number of patients with sarcopenic dysphagia is also increasing. The prevalence of sarcopenic dysphagia is high in the institutionalized older people and in patients hospitalized for pneumonia with dysphagia in acute care hospitals. Prevention, early detection and intervention of sarcopenic dysphagia with rehabilitation nutrition are essential. The diagnosis of sarcopenic dysphagia is based on skeletal and swallowing muscle strength and muscle mass. A reliable and validated diagnostic algorithm for sarcopenic dysphagia is used. Sarcopenic dysphagia is associated with malnutrition, which leads to mortality and Activities of Daily Living (ADL) decline. The rehabilitation nutrition approach improves swallowing function, nutrition status, and ADL. A combination of aggressive nutrition therapy to improve nutrition status, dysphagia rehabilitation, physical therapy, and other interventions can be effective for sarcopenic dysphagia. The rehabilitation nutrition care process is used to assess and problem solve the patient’s pathology, sarcopenia, and nutrition status. The simplified rehabilitation nutrition care process consists of a nutrition cycle and a rehabilitation cycle, each with five steps: assessment, diagnosis, goal setting, intervention, and monitoring. Nutrition professionals and teams implement the nutrition cycle. Rehabilitation professionals and teams implement the rehabilitation cycle. Both cycles should be done simultaneously. The nutrition diagnosis of undernutrition, overnutrition/obesity, sarcopenia, and goal setting of rehabilitation and body weight are implemented collaboratively.
다케우치하지메 ( Hajime Takeuchi ),사토요이치 ( Youichi Sato ),야마구치에리 ( Eri Yamaguchi ),와다히로시 ( Hiroshi Wada ),아넬리이바르손 ( Anneli Ivarsson ) 한국보건사회연구원 2020 국제사회보장리뷰 Vol.14 No.-
빈곤 환경에서 성장한 아동은 성인이 되어서도 열악한 삶을 살 가능성이 매우 크다. 이는 고소득 국가에 거주하는 아동에게도 동일하게 적용된다. 일례로 경제협력개발기구 가족 데이터베이스(OECD Family Database)에 따르면, 2014년 일본 아동의 상대적 빈곤 수준은 OECD 전체 회원국 37개국 중 26위에 머물렀다. 전국 의료기관의 협력을 통해 일본의 소득 불평등 및 아동의 양육 환경을 살펴보고자 한다. 0~15세 아동 및 아동의 돌봄자를 대상으로 2014~2015년에 걸쳐 3개의 횡단연구를 실시했다. 응답자 2214명 중 1907명(86%) 이 가구 소득 및 가구 구성에 대한 신뢰성 있는 정보를 제공하였다. 분석 결과, 조사 대상 아동의 5분의 1이 상대적 빈곤층이고 이 중 10분의 1이 공적부조를 받고 있는 것으로 나타났다. 또한 한부모가정의 3분의 2는 빈곤층이며, 빈곤층 부모 중 5분의 2는 자신의 생활 환경에 만족한다고 응답하였다. 이 글은 재정 자원 부족과 역량 박탈 문제를 해결하고 아동빈곤을 감소시키기 위해 사회 전체가 취약계층 아동을 위한 더욱 적극적인 정책 방안을 마련해야 한다는 것을 정책 제안으로 제시한다.
Inter-professional and inter-departmental alcoholism rehabilitation program
Masahiro Kikuchi,Naomi Matsutani,Ryota Ishihara,Masako Sugihara,Yuuki Mizuno,Chiyo Chiba,Takahiro Ohta,Eri Yamada,Sota Oguro,Yasuko Sato,Hiroki Bessho,Yoshinori Horie 대한간학회 2020 Clinical and Molecular Hepatology(대한간학회지) Vol.26 No.4
A 3-month alcoholism rehabilitation program at psychiatric hospitals is common in Japan for patients with alcohol use disorder (AUD). However, many AUD patients are often hospitalized for the treatment of digestive disorders due to alcohol-related liver diseases and pancreatitis. In this sense, AUD patients need to be better supported by professionals and departments in general hospitals. Here we analyzed the problems in alcohol-related medical care in Japan and examined the measures to be taken at general hospitals.