KEIO SFC JOURNAL - Vol.9 No.2 2009



CONTENTS
SPECIAL FEATURE ARTICLES: INVITED PAPERS
Theory for Better Consumer Support in Healthcare
Noriaki Aoki
Assistant Professor, School of Health Information Sciences, University of Texas Health Science Center at Houston
President, Center for Health Service, Outcomes Research and Development - Japan (CHORD-J)
e-Care Project - Improvement "care-ability" by networking of unconscious informal section in the society
Masaki Minami
Assistant Professor, Graduate School of Media and Governance, Keio University
Keiko Takenoue
Professor, Faculty of Nursing and Medical Care, Keio University
Masako Kaneko
Professor, Faculty of Nursing and Medical Care, Keio University
Shoko Miyagawa
Associate Professor, Faculty of Nursing and Medical Care, Keio University
Masahiro Kobayashi
Professor, Faculty of Nursing and Medical Care, Keio University
Kikuko Ota
Professor, Faculty of Nursing and Medical Care, Keio University
SPECIAL FEATURE ARTICLES: RESEARCH PAPERS
The Establishment and Application of an "e-Care" System for Couples Who Have Experienced Miscarriage and Stillbirth
Keiko Takenoue
Professor, Faculty of Nursing and Medical Care, Keio University
Naomi Maeda
Senior Visiting Researcher, Keio Research Institute at SFC
Yuriko Tadokoro
Senior Visiting Researcher, Keio Research Institute at SFC
Michiko Nakakita
Doctoral Program, Graduate School of Health Management, Keio University
Development of Parenting Education Program for Youth - Attempt to create a drama on Internet
Masako Kaneko
Professor, Faculty of Nursing and Medical Care, Keio University
Machiko Miwa
Professor, School of Nursing, University of Shizuoka
Senior Visiting Researcher, Keio Research Institute at SFC
Shinya Masuda
Associate Professor, Faculty of Nursing and Medical Care, Keio University
Minako Shimegi
Associate Professor, Faculty of Nursing and Medical Care, Keio University
Shoko Miyagawa
Associate Professor, Faculty of Nursing and Medical Care, Keio University
Terumi Watanabe
Senior Visiting Researcher, Keio Research Institute at SFC
Doctoral Course, Graduate School of Nursing, Chiba University
Difficulties in Use of "high-tech" Home Appliances for Older Users - Experimental consideration based on behavior analysis, eye tracking, and physiological measurement during use of rice cookers
Ryoko Fukuda
Assistant Professor, Faculty of Environment and Information Studies, Keio University
SPECIAL FEATURE ARTICLES: RESEARCH NOTES
Making of a Physical Exercise Program Web-site for Middle-aged and Elderly People at Home
Miki Kubo
Research Associate, Faculty of Nursing and Medical Care, Keio University
Masahiro Kobayashi
Professor, Faculty of Nursing and Medical Care, Keio University
Mika Chaen
Associate Professor, Faculty of Nursing and Medical Care, Keio University
Etsuko Shindo
Associate Professor, Faculty of Nursing and Medical Care, Keio University
Tomoko Arahata
Research Associate, Faculty of Nursing and Medical Care, Keio University
Kaeko Yamashita
Professor, Faculty of Nursing and Medical Care, Keio University
IT-based Health Care Accessibility Programs for Autistics
Minako Shimegi
Associate Professor, Faculty of Nursing and Medical Care, Keio University
Atuko Katou
Visiting Researcher, Keio Research Institute at SFC
Introduction of Nordic Walking Exercise to Maintain Walking Ability of Older Adults
Yukiko Lau
Senior Visiting Researcher, Keio Research Institute at SFC
Lecturer, Tokyo Women's Medical University School of Nursing
Ken Yamauchi
Associate Professor, Institute of Physical Education, Keio University
Emi Kawakita
Research Associate, Faculty of Nursing and Medical Care, Keio University
Kikuko Ota
Professor, Faculty of Nursing and Medical Care, Keio University
Communication Design about E-Care Contributing to Improving both Quality and Quantity of Social Care
Satori Nishiyama
Senior Visiting Researcher, Keio Research Institute at SFC
Mika Chaen
Associate Professor, Faculty of Nursing and Medical Care, Keio University
Shoko Miyagawa
Associate Professor, Faculty of Nursing and Medical Care, Keio University
Toshiki Nishiyama
Assistant Professor, Graduate School of Media and Governance, Keio University
RESEARCH ARTICLES: RESEARCH PAPERS
Comparative Analysis between the 'Precocious Type' and the 'Late-blooming Type' among Top Tennis Players
Toshiaki Sakai
Doctoral Program, Graduate School of Media and Governance, Keio University
Sae Sakai
Research Associate (Non-tenured), Graduate School of Media and Governance, Keio University
"Modernity" in the Thoughts of Comte de Saint-Simon - On the réorganisation of Europe
Yohei Nakashima
Doctoral School, Political Studies, L'École des hautes etudes en sciences sociales(EHESS)
The Governance of Contemporary Counter-terrorism - Case study of German air security policy
Hironobu Nakabayashi
Senior Visiting Researcher, Keio Research Institute at SFC
Glance-at-Door - The privacy protection on Web camera using the openness of the door as an indicator of the context
Akihiko Kodama
Researcher, Advanced Research Center, Keio University
Michiaki Yasumura
Professor, Faculty of Environment and Information Studies, Keio University
BOOK REVIEWS
Ethics by Committee A Textbook on Consultation, Organization, and Education for Hospital Ethics Committee - Edited by D. Micah Hester/Translated by Shoichi Maeda and Satoshi Kodama, Keiso Shobo, 2009
Masatoshi Nara
Associate Professor, Faculty of Letters, Keio University
Kiki-ni-Tatsu Nihon-no Eigo-Kyouiku (in Japanese) - Written and Edited by Yukio Ohtsu, Keio University Press, July 2009
Mitsuaki Okabe
Professor, Faculty of International Studies, Meiji Gakuin University
ABSTRACT
SPECIAL FEATURE ARTICLES: INVITED PAPERS
  • Theory for Better Consumer Support in Healthcare
    Noriaki Aoki
    Assistant Professor, School of Health Information Sciences, University of Texas Health Science Center at Houston
    President, Center for Health Service, Outcomes Research and Development - Japan (CHORD-J)

    Our ultimate goal in healthcare is outcome improvement of care receivers. The outcome is defined as combination of quantity, quality and cost that varies among care receivers since it can be influenced by health conditions, health system, individual preference, community rule and cultures. Due to the variations, there is no one-size-fits-all solution. Therefore, "Nattoku", which is more emotional acceptance process, rather than logical understanding process, could be important for decision making. In this paper, we discuss importance of integrating knowledge, experience and theories to utilize potential of e-healthcare in terms of decision support and health communication.
  • e-Care Project - Improvement "care-ability" by networking of unconscious informal section in the society
    Masaki Minami
    Assistant Professor, Graduate School of Media and Governance, Keio University
    Keiko Takenoue
    Professor, Faculty of Nursing and Medical Care, Keio University
    Masako Kaneko
    Professor, Faculty of Nursing and Medical Care, Keio University
    Shoko Miyagawa
    Associate Professor, Faculty of Nursing and Medical Care, Keio University
    Masahiro Kobayashi
    Professor, Faculty of Nursing and Medical Care, Keio University
    Kikuko Ota
    Professor, Faculty of Nursing and Medical Care, Keio University

    This paper summarized research activities of "e-CARE Project" that has realized self empowerment and mutual help for health in the society based on the principle of subsidiary by new communication consist on the information technologies. The "e-CARE" is a concept that made a whole society healthily by improvement a "care-ability" like "keeping good health" and/or "making well-being" that potentially exists among an individual, family, community and region on the actual social system. So it realized alternative reciprocal assistances among "human and human", "human and organization" and "organization and organization" by combining usual and new communication schemes on the medical, nursing, welfare and healthcare. Therefore it can make use of potential "informal section" besides the government, a local government or market mechanism, so that it can expand qualities and varieties of present services. In order to show feasibilities of reciprocal assistances by the such communication consist on informal section, this paper describes some concrete research topics that need improvement the "care-ability" with three classification of perspective like "entity", "relationship" and "infrastructure" in terms of processes and results of each groups, and concludes results and prospects for "e-CARE" comprehensively.
SPECIAL FEATURE ARTICLES: RESEARCH PAPERS
  • The Establishment and Application of an "e-Care" System for Couples Who Have Experienced Miscarriage and Stillbirth
    Keiko Takenoue
    Professor, Faculty of Nursing and Medical Care, Keio University
    Naomi Maeda
    Senior Visiting Researcher, Keio Research Institute at SFC
    Yuriko Tadokoro
    Senior Visiting Researcher, Keio Research Institute at SFC
    Michiko Nakakita
    Doctoral Program, Graduate School of Health Management, Keio University

    Purpose: To establish a post-miscarriage and stillbirth e-care support system to encourage mutual-care and improve health among affected couples. Method: Four types of care systems were developed by patient-peer groups and researchers: a website bulletin board, booklets, personal counseling by mutual support groups, and personal counseling by midwives. Results: The website bulletin board explored the couples' experiences and feelings and was accessed more than 9,400 times, indicating the usefulness of this website-based care system. Twenty peer-support meetings were held, and over 2,000 booklets were distributed to individuals and hospitals. Forty counseling sessions by midwives, conducted at the women's center, focused on concerns and minor physical symptoms. The roles and meanings of the e-care system were discussed. Conclusion: The developed e-care systems for couples who have experienced miscarriage and stillbirth complemented each other and their frequency of usage indicated their necessity.
    Download this Article (PDF) 16pages/590KB/Japanese
  • Development of Parenting Education Program for Youth - Attempt to create a drama on Internnt
    Masako Kaneko
    Professor, Faculty of Nursing and Medical Care, Keio University
    Machiko Miwa
    Professor, School of Nursing, University of Shizuoka
    Senior Visiting Researcher, Keio Research Institute at SFC
    Shinya Masuda
    Associate Professor, Faculty of Nursing and Medical Care, Keio University
    Minako Shimegi
    Associate Professor, Faculty of Nursing and Medical Care, Keio University
    Shoko Miyagawa
    Associate Professor, Faculty of Nursing and Medical Care, Keio University
    Terumi Watanabe
    Senior Visiting Researcher, Keio Research Institute at SFC
    Doctoral Course, Graduate School of Nursing, Chiba University

    There are many mother becoming the child care uneasiness in Japan. The one of these cause is thought that the youth have few opportunities to contact and care a child. Purpose of this study is development of a program to be able to learn easily parenting education while imaging child care concretely for youth by using Internet. We assumed that making of a drama part let their think about contents such as an image of life of the child care. The drama delivered comics as an animation with a flash bulb from a web site. This drama consists of 5 episodes. For 34 months, 130 thousand cases hit the number of the access this program, and 129 registrants to see and hear it. The awareness of the necessity of parenting education is important for youth to register with this website and spend the necessary time to learn it.
  • Difficulties in Use of "high-tech" Home Appliances for Older Users - Experimental consideration based on behavior analysis, eye tracking, and physiological measurement during use of rice cookers
    Ryoko Fukuda
    Assistant Professor, Faculty of Environment and Information Studies, Keio University

    Modern home appliances are equipped with highly developed technologies. However, they are not always useful for older users. To identify the cognitive difficulties faced by older adults, their use of simulated rice cookers was analyzed by behavioral observation, eye tracking, physiological measurement and interviews. The results showed that complicated function allocation and ambiguous labeling of operation keys confused the older users. To avoid such difficulties, definite classification of functions and explicit labeling are required.
    Download this Article (PDF) 12pages/718KB/Japanese
SPECIAL FEATURE ARTICLES: RESEARCH NOTES
  • Making of a Physical Exercise Program Web-site for Middle-aged and Elderly People at Home - Net DE Taiso at Home
    Miki Kubo
    Research Associate, Faculty of Nursing and Medical Care, Keio University
    Masahiro Kobayashi
    Professor, Faculty of Nursing and Medical Care, Keio University
    Mika Chaen
    Associate Professor, Faculty of Nursing and Medical Care, Keio University
    Etsuko Shindo
    Associate Professor, Faculty of Nursing and Medical Care, Keio University
    Tomoko Arahata
    Research Associate, Faculty of Nursing and Medical Care, Keio University
    Kaeko Yamashita
    Professor, Faculty of Nursing and Medical Care, Keio University

    In this article, the process of making a program of the website for middle-aged and elderly persons recorded to report on physical exercises at home is reported. This program was made by contents of exercise, to check programs. Encouraged participants to note their responses, and considerations of simplicity of use and case of access for the middle-aged and elderly, uses accounted were paramount as the website was made and tested. Regular discussions were held on actual access and the problems the result shows that although the middle-aged and elderly had high interest in to website, they had problems with the actual process of accessing it in addition keeping on the exercise program.
    Download this Article (PDF) 10pages/476KB/Japanese
  • IT-based Health Care Accessibility Programs for Autistics
    Minako Shimegi
    Associate Professor, Faculty of Nursing and Medical Care, Keio University
    Atuko Katou
    Visiting Researcher, Keio Research Institute at SFC

    Some autistic people suffer health management problems due to a diff iculty in verbal communication. They sometimes cannot consult doctors or receive treatment and examination smoothly when they fall sick. This study is aimed at supporting autistic people's life in the health care aspect. In this study, health issues of autistics that have scarcely been identified were brought to light, based on the result of which, three IT-based medical consultation support programs were developed. The three programs have been disclosed on the web in order to promote their expanded application as well as to examine its efficacy. To this point, it has been suggested that these programs have potential utility.
    Download this Article (PDF) 12pages/681KB/Japanese
  • Introduction of Nordic Walking Exercise to Maintain Walking Ability of Older Adults
    Yukiko Lau
    Senior Visiting Researcher, Keio Research Institute at SFC
    Lecturer, Tokyo Women's Medical University School of Nursing
    Ken Yamauchi
    Associate Professor, Institute of Physical Education, Keio University
    Emi Kawakita
    Research Associate, Faculty of Nursing and Medical Care, Keio University
    Kikuko Ota
    Professor, Faculty of Nursing and Medical Care, Keio University

    The purpose of this research was to clarify transition of basic physical fitness among older adults and to investigate difference of activity level between normal walking and Nordic Walking Exercise. Nordic walking was found to be effective for improving grip strength, sitting trunk flexion and for increasing motivation regarding walking exercise. Compared to normal walking, Nordic Walking Exercise showed increased walking time and number of steps, higher frequency of walking exercise, decreased number of steps in walking time, and fewer calories expended for each step and walking time.
    Download this Article (PDF) 6pages/320KB/Japanese
  • Communication Design about E-Care Contributing to Improving both Quality and Quantity of Social Care
    Satori Nishiyama
    Senior Visiting Researcher, Keio Research Institute at SFC
    Mika Chaen
    Associate Professor, Faculty of Nursing and Medical Care, Keio University
    Shoko Miyagawa
    Associate Professor, Faculty of Nursing and Medical Care, Keio University
    Toshiki Nishiyama
    Assistant Professor, Graduate School of Media and Governance, Keio University

    This study clarifies the present condition of the use of ICT in e-care and aims at examining what communication design in e-care should be. First, we carried out research on the operation of Web-site through questionnaires sent to 7 teams making a study of e-care HRC project in Keio University, and made a close analysis of the contents of the aid to given by the web. Secondly, we had a discussion on the expansion of e-care world contributing to improving both quality and quantity of social care, based on a plan for holding a session about SFC Open Research Forum 2008. As a result, the necessity of using five on-line types and three patterns of on-line and off-line according to the needs of users was suggested.
RESEARCH ARTICLES: RESEARCH PAPERS
  • Comparative Analysis between the 'Precocious Type' and the 'Late-blooming Type' among Top Tennis Players
    Toshiaki Sakai
    Doctoral Program, Graduate School of Media and Governance, Keio University
    Sae Sakai
    Research Associate (Non-tenured), Graduate School of Media and Governance, Keio University

    There is a trend that the more precocious players are, the higher they reach in career ATP ranking in professional tennis. Therefore, I classified the ATP top 100 ranked players into 'precocious type' and 'lateblooming type', and performed a comparative analysis on three attributes: rankings, match content and entered tournament. The obtained results prove that the highest career ATP ranking of the 'precocious type' is higher than that of the 'late-blooming type', and it was clarified that the framework of professional tennis tournament tours works in the favor of 'precocious type' through attributes such as the ATP point system and wild-card system.
    Download this Article (PDF) 12pages/590KB/Japanese
  • "Modernity" in the Thoughts of Comte de Saint-Simon - On the réorganisation of Europe
    Yohei Nakashima
    Doctoral School, Political Studies, L'École des hautes etudes en sciences sociales (EHESS)

    According to Comte de Saint-Simon, la meilleure constitution possible could consider the public interest from the two aspects of general interest and particular interest. The modern society is unified by the universal morality that transcends Christianity as a domination principle in the Middle Ages, that is, by philanthropy that evolves from interpersonal relationships in the industrial society. Réorganisation of the society is gradually carried out by human beings who could consider the general interest of the society while overcoming the particular interest called ego. Comte de Saint-Simon had drafted De la réorganisation de la société européenne for proposing a realization approach of his social thoughts at the European level.
  • The Governance of Contemporary Counter-terrorism - Case study of German air security policy
    Hironobu Nakabayashi
    Senior Visiting Researcher, Keio Research Institute at SFC

    The 9.11 terrorist attacks reaffirm the importance of protecting aviation transport infrastructure against terrorism. In Germany, under the act on aviation security of 2005, airborne transport security has been implemented with public-private networks and/or cooperation between various actors as like law enforcements, regulatory agency, private sector, and military organization (especially Federal Air Force). These networks and/or cooperation are enhanced through dialogue and exercise between actors of various sector. At the same time, some ideas and measures for enhancing efficiency and for spreading the increased cost about security measures. From now on, it will become next issue to formalized coordination mechanism for implementing these measures into the aviation security act. Download this Article (PDF) 16pages/471KB/Japanese
  • Glance-at-Door - The privacy protection on Web camera using the openness of the door as an indicator of the context
    Akihiko Kodama
    Researcher, Advanced Research Center, Keio University
    Michiaki Yasumura
    Professor, Faculty of Environment and Information Studies, Keio University

    Under circumstances of the broadband and always-on connection, telecommunication like constant broadcasting of live video and audio to remote places are realized. In such situation, not always appropriate awareness to the state of the camera and microphone is given, thus causing problems such as the privacy abuse. In this research, we emphasize the fact that in the physical environment whether a door is opened or closed plays a roll to control the amount of the visual and auditory information shared among rooms. We are proposing an interface technique called Glance-at-Door which controls the access to the visual and auditory information of a web camera in relation to the openness of the door measured using a sensor.
BOOK REVIEWS
  • Ethics by Committee A Textbook on Consultation, Organization, and Education for Hospital Ethics Committee - Edited by D. Micah Hester/Translated by Shoichi Maeda and Satoshi Kodama, Keiso Shobo, 2009
  • Kiki-ni-Tatsu Nihon-no Eigo-Kyouiku (in Japanese) - Written and Edited by Yukio Ohtsu, Keio University Press, July 2009


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