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Category Archives: > Volume 5

Promoting Psychological and Health Status of the Elderly: The Underlying Mechanisms of Chin-Don Therapy


HATTA; K. Promoting Psychological and Health Status of the Elderly: The Underlying Mechanisms of Chin-Don Therapy JAS4QoL 2019, 5(1) 4 online at: https://as4qol.org/3YZPK

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Promoting Psychological and Health Status of the Elderly: The Underlying Mechanisms of Chin-Don Therapy

Hatta; Kanji

Department of Psychiatric Medicine, School of Nursing, Takarazuka University, Osaka, Japan (k-hatta@takara-univ.ac.jp)


Chin-Don (CD) performance – a kind of musical performance for common people in Japan during the Edo Period – has been proven useful for healthcare promotion and healing, and was therefore employed as CD therapy (CDT) in a series of studies. Since CDT induces favorable outcomes in three elderly subjects, we further investigated the benefits of CDT in promoting quality-of-life in the cognitively impaired elderly using objective approaches: i) measuring salivary cortisol and immunoglobulin-A; ii) self-assessment of mood, emotion, and behavior using a face-scale; (iii) monitoring blood levels of neurotransmitters such as adrenalin (AD), noradrenalin (NA), and dopamine (DP) as well as the stress-related hormone cortisol (CT) and β-endorphin (BE); and (iv) monitoring stress-related CT, as well as immunodefense system-related BE and natural killer (NK) cell activity. Our studies focus on endogenous factors closely related to humor, laughter, stress, emotion, depression, joy, movement, and other apparent physiological responses such as being more alert and aroused (such as AD, NA, CT, BE). CDT works effectively in improving mood (emotional and psychological states) for the elderly. The significant blood CT level decreases in CDT patents may have due to less stress during CDT exposure, as CT is associated with elevated stress input. We did not measure the effect of immunity by CT decrease, as the effect would be transient and short-lived. Of the local vs global categories of BE function, the latter function is more relevant with CDT in decreasing bodily stress and maintaining homeostasis (e.g. in pain management, reward effects, and behavioral stability), providing enthusiastic participation and satisfactory post-event emotions and/or behavior in the CD-induced dancing. All in all, CDT induces favorable de-stressing effects, euphoric reliefs, reduction in pain and/or physical handicaps experienced by the elderly participants. These favorable psychological and physiological responses could be explained via relevant objective monitoring of blood indexes (although more endogenous factors need to be monitored), thus advocating the useful effects of CDT.

Keywords: CDT, Chin-Don therapy, Quality of Life, QoL, elderly, psychological health of elderly.

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An Investigation of the Factors Affecting Social Seclusion and the Social Activity Needs in Husband-Wife Elderly Households


KAWAMURA, K.; TAKENAKA, Y.; TOKURA, E.; KIMURA, C.; TANABE, M.; ITO, H.; MIYAMA, T.; HORI, T.; MATSUMOTO, K. An Investigation of the Factors Affecting Social Seclusion and the Social Activity Needs in Husband-Wife Elderly Households JAS4QoL 2019, 5(1) 3 online at: https://as4qol.org/7Z5S0

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An Investigation of the Factors Affecting Social Seclusion and the Social Activity Needs in Husband-Wife Elderly Households

, , , , ,  , ,

       Kyoto Tachibana University, 34 Yamada-cho, Oyake, Yamashina-ku, Kyoto 607-8175, Japan (kawamura-k@tachibana-u.ac.jp)

Objectives: The present study investigated the factors causing social seclusion and understanding the social activities needed in husband-wife households to gain an insight in developing a program for preventing the elderly married couples from seclusion.

Methods: An anonymous questionnaire was distributed among a community of exclusively husband-wife elderly households (age: > 65 years). The questionnaire on self-efficacy scale with regard to going out among community-dwelling elderly (SEGE), rating scale for self-efficacy of physical activity in frail elderly people (physical activity SE), geriatric depression scale - short version-Japanese (GDS-S-J), and on social capital, age, gender, and long-term care level. SEGE values were categorized variables, while others were treated as individual variables by multiple regression analysis. In addition, the median SEGE values that were categorized by gender, confirmed the trends in social activity needs.

 

Results: In male elderly, ‘walking’, ‘stair-climbing’, ‘lifting a weight’ in the category of physical activity SE were high, and seclusion tendency was low in couples who had good husband-wife relationship, and seclusion tendency was high when GDS-S-J values were high. As for the female elderly, seclusion tendency was low when ‘walking’, ‘lifting a weight’, and social capital were high; the seclusion tendency was high when age, long-term care level, and GDS-S-J values were high. Additionally, the social activity needs did not exhibit differences when male and female elderly were compared separately according to median SEGE values.

Discussion: In the male elderly, it is important to prevent social seclusion from society via first mutual invitation to join social activity among the couples, and subsequently through intervention towards promoting elevated self-efficacy generated by couple-participation in physical activity. However, the female elderly can continue maintaining relationships with other community residents for their reciprocity. Thus, we found a gender difference needed to consider about seclusion prevention.

Keywords: social seclusion, elderly, husband wife households

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The Diversity of Quality of Life Found at an Academic Conference Cruise in 2018


HIOKO, C. The Diversity of Quality of Life Found at an Academic Conference Cruise in 2018 JAS4QoL 2019, 5(1) 2 online at: https://as4qol.org/9TxfJ

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The Diversity of Quality of Life Found at an Academic Conference Cruise in 2018

Chizuko HIOKI

Research Institute of Traditional Asian Medicine, Kindai University School of Medicine 377-2 Ohno-Higashi, Osaka-sayama, Osaka 589-8511, JAPAN (chioki@med.kindai.ac.jp)

I recently took part in the International Conference and Cruise on Quality of Life 2018 Cruise (ICQoL-2018) (departing from and returning to Singapore). Cruise-Conferences of this sort provide a suitable venue and an entirely unique atmosphere for the exchange of information and findings among researchers. As described by Foong, while on board, participants enjoyed a variety of entertainment and interactions with other participants, while being able to maintain good health and privacy while feeling at home. In the conference, as a member of the Academic Society for Quality of Life, I gave a presentation entitled: “Kampo (traditional medicine) helps us to control our mind and body through the endocrine, nervous and immune system.”

...

It is difficult know whether the behavior of individual participants on a given moment on a cruise is a manifestation of the typical customs and values in their home country. However, if one is given the leisure and space to spend a 7-day cruise with them on the same boat at sea, and interact in and out as a group, one can come to feel less sensitive and conscious of the gap between of one’s own existence/life and that of other people. Thinking about QoL as a member of Academic Society for Quality of Life, I came to realize that cruising may be a useful way to discover the national characters of people from other countries.

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Japan's growing aging population and a shortage of local working staff has led to necessary employment of nursing care workers from foreign countries, especially those who have grown up in Asian countries such as Vietnam, Indonesia and the Philippines, for elderly care.6 Caregivers are required to help care for the physically handicapped or incapable elderly in all aspects of daily life in order to maintain and improve their QoL. However, both of thesethe care-giver and the care-receiverare humans with feelings. The improvement of the QoL of not only the person who receives care, but also the person who is providing care must be considered. In short, for this human-human relationship to maintain in good balance, and for the interdependent system to be workable, an effort to acknowledge and accept each other's lifestyle and values should be exercised. A balance in Ki between the parties should be healthily circulated.

We may find that the quality of life is a degree of happiness that each person evaluates and measured individually. Happiness in life may be gained by devising a way of life derived from learning various patterns of behavior and thinking from the people surrounding us.

Furthermore, not only in the area of elderly care, if the upheaval of the society and the natural environment continues, there will be times when multilateral assistance is needed never more than now.

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Regulation of Adiponectin Receptors Through PPAR-gamma Agonists in Systemic and Renal Hemodynamics in Diabetic Rats


Sattar, M. Z. A.; Afzal, S. Regulation of Adiponectin Receptors Through PPAR-gamma Agonists in Systemic and Renal Hemodynamics in Diabetic Rats JAS4QoL 2019, 5(1) 1 online at: https://as4qol.org/5U2Wj

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Munavvar Zubaid Abdul SATTAR*, Sheryar AFZAL

Department of Scientific Basis of Therapeutics, Faculty of Pharmacy, MAHSA University, Selangor, Malaysia (munavvar@mahsa.edu.my)

The adipose tissue as an object of study has dynamically entered the field of cardiology over the last decade. The communication between adipose tissue and other biological systems is accomplished through the expression of a large number of bioactive mediators, called adipokine or adipocytokines (Antoniades et al. 2009). The main adipocytokines are adiponectin (ADN), leptin, resistin, interleukin (IL-6), (Ryo et al. 2004), tumor necrosis factor-alpha (TNF-a) and the plasminogen activator-1 inhibitor (PAI-1). Adiponectin is distinguished by being not only the most abundant product of fat, but also for being one of the major involved in regulating various mechanisms in human body (Siasos, 2012). Adiponectin is a secreted protein consisting of 247 amino acids, produced exclusively by adipocytes. Adiponectin was independently identified by four laboratories; hence, the multiple names. Lodish laboratory first discovered adiponectin in 1995 as a protein named “Adipocyte Complement Related Protein of 30 kDa” (ACRP30) (Scherer et al. 1995).

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