G187 Ito, T., Sueyoshi, E. & Inoue, T. (2013). Text mining analysis of the narratives of a patient with fibromyalgia: Focusing on expressions of pain. 16th East Asian Forum of Nursing Scholars (EAFONS 2013) Forum Proceedings, 348.
G187 Ito, T., Sueyoshi, E. & Inoue, T. (2013). Text mining analysis of the narratives of a patient with fibromyalgia: Focusing on expressions of pain. 16th East Asian Forum of Nursing Scholars (EAFONS 2013) Forum Proceedings, 348.
G248 Hori, K., Ito, T., & Ando, T. (2016, July) Text mining of children's es...Takehiko Ito
G248 Hori, K., Ito, T., & Ando, T. (2016, July) Text mining of children's essays about animals kept at schools focusing on importance of life and attachment to animals. Oral presentation in ICP2016 p.226 07/26 14:40-16:10 OR26-72-1
R021 Kilborn, K., & Ito, T. (1989). Sentence processing strategies in adult b...Takehiko Ito
R021 Kilborn, K., & Ito, T. (1989). Sentence processing strategies in adult bilinguals. In B. MacWhinney & E. Bates. (Eds.), Cross-linguistic studies of language processing. New York : Cambridge University Press. pp.257-291.
G248 Hori, K., Ito, T., & Ando, T. (2016, July) Text mining of children's es...Takehiko Ito
G248 Hori, K., Ito, T., & Ando, T. (2016, July) Text mining of children's essays about animals kept at schools focusing on importance of life and attachment to animals. Oral presentation in ICP2016 p.226 07/26 14:40-16:10 OR26-72-1
R021 Kilborn, K., & Ito, T. (1989). Sentence processing strategies in adult b...Takehiko Ito
R021 Kilborn, K., & Ito, T. (1989). Sentence processing strategies in adult bilinguals. In B. MacWhinney & E. Bates. (Eds.), Cross-linguistic studies of language processing. New York : Cambridge University Press. pp.257-291.
G113 Shiromaru, Ito Anxiety and specific structure of worries of patients wh...Takehiko Ito
G113 Shiromaru, Ito Anxiety and specific structure of worries of patients who undergo abdominal surgery The 1st International Nursing Research Conference of World Academy of Nursing Science: Program & Abstracts, 235.
G092 Iida, T., Ito, T., & Inoue, T. (2008). HIV-related knowledge and attitu...Takehiko Ito
G092 Iida, T., Ito, T., & Inoue, T. (2008). HIV-related knowledge and attitude toward people living with HIV/AIDS among university students in Japan. Pacific Rim College of Psychiatrists Scientic Meeting Program & Abstracts, 327.
Chronic pain is common. If we don’t suffer from it ourselves, chances are we know someone who does. Changes in the structure and function of the brain are thought to underlie chronic pain. The good news is that these changes are not hardwired. Many things can be done to influence how the brain processes pain signals including exercise, healthy eating, and better sleep, as well as thinking more adaptive thoughts, positive emotions, and feeling love and connected. This session will highlight the neuroscience related to chronic pain and how engaging in simple self-management strategies can result in less pain and a more rewarding life.
This presentation comes from the Spring Patient Education conference presented by the Scleroderma Patient Education Conference presented by the Scleroderma Foundation of Greater Chicago.
Chronic pain is common. If we don’t suffer from it ourselves, chances are we know someone who does. Changes in the structure and function of the brain are thought to underlie chronic pain. The good news is that these changes are not hardwired. Many things can be done to influence how the brain processes pain signals including exercise, healthy eating, and better sleep, as well as thinking more adaptive thoughts, positive emotions, and feeling love and connected. This session will highlight the neuroscience related to chronic pain and how engaging in simple self-management strategies can result in less pain and a more rewarding life.
This presentation comes from the Spring Patient Education conference presented by the Scleroderma Patient Education Conference presented by the Scleroderma Foundation of Greater Chicago.
Pain is a common yet complex biopsychosocial phenomenon that affects every aspect of a patient’s life
Optimal management often requires good assessment, formulation of the problem in the patient, and combining pharmacological and non-pharmacological (psychological and social) interventions
Principles for more cautious and selective opioid prescribing for chronic non...Group Health Cooperative
Presentation was originally done at Group Health Cooperative’s National Summit on Opioid Safety: http://www.ghinnovates.org/?p=3502
Presentation by: Jane C. Ballantyne, MD FRCA, with the Department of Anesthesiology and Pain Medicine at UW Medicine.
Chronic pain: Role of tricyclic antidepressants, dolsulepinSudhir Kumar
Chronic pain is common. Depression often co-exist with chronic pain. This article looks at the pathophysiology, prevalence of chronic pain and depression. The role of TCA, especially dosulepin and amitriptyline has been discussed.
Postoperative pain experience among elders: A phenomenological approachiosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
Pain is the production (out put ) of the brain.
Pain is invisible disease, we can’t see it like other disease, such as struma, fracture or blind.
What you have to do is to believe what ever the patient says.
Pain is what ever the patient says it is
Pain is invisible diseases, but is real for patient.
G113 Shiromaru, Ito Anxiety and specific structure of worries of patients wh...Takehiko Ito
G113 Shiromaru, Ito Anxiety and specific structure of worries of patients who undergo abdominal surgery The 1st International Nursing Research Conference of World Academy of Nursing Science: Program & Abstracts, 235.
G092 Iida, T., Ito, T., & Inoue, T. (2008). HIV-related knowledge and attitu...Takehiko Ito
G092 Iida, T., Ito, T., & Inoue, T. (2008). HIV-related knowledge and attitude toward people living with HIV/AIDS among university students in Japan. Pacific Rim College of Psychiatrists Scientic Meeting Program & Abstracts, 327.
G092 Iida, T., Ito, T., & Inoue, T. (2008). HIV-related knowledge and attitu...
Similar to G187 Ito, T., Sueyoshi, E. & Inoue, T. (2013). Text mining analysis of the narratives of a patient with fibromyalgia: Focusing on expressions of pain. 16th East Asian Forum of Nursing Scholars (EAFONS 2013) Forum Proceedings, 348.
Chronic pain is common. If we don’t suffer from it ourselves, chances are we know someone who does. Changes in the structure and function of the brain are thought to underlie chronic pain. The good news is that these changes are not hardwired. Many things can be done to influence how the brain processes pain signals including exercise, healthy eating, and better sleep, as well as thinking more adaptive thoughts, positive emotions, and feeling love and connected. This session will highlight the neuroscience related to chronic pain and how engaging in simple self-management strategies can result in less pain and a more rewarding life.
This presentation comes from the Spring Patient Education conference presented by the Scleroderma Patient Education Conference presented by the Scleroderma Foundation of Greater Chicago.
Chronic pain is common. If we don’t suffer from it ourselves, chances are we know someone who does. Changes in the structure and function of the brain are thought to underlie chronic pain. The good news is that these changes are not hardwired. Many things can be done to influence how the brain processes pain signals including exercise, healthy eating, and better sleep, as well as thinking more adaptive thoughts, positive emotions, and feeling love and connected. This session will highlight the neuroscience related to chronic pain and how engaging in simple self-management strategies can result in less pain and a more rewarding life.
This presentation comes from the Spring Patient Education conference presented by the Scleroderma Patient Education Conference presented by the Scleroderma Foundation of Greater Chicago.
Pain is a common yet complex biopsychosocial phenomenon that affects every aspect of a patient’s life
Optimal management often requires good assessment, formulation of the problem in the patient, and combining pharmacological and non-pharmacological (psychological and social) interventions
Principles for more cautious and selective opioid prescribing for chronic non...Group Health Cooperative
Presentation was originally done at Group Health Cooperative’s National Summit on Opioid Safety: http://www.ghinnovates.org/?p=3502
Presentation by: Jane C. Ballantyne, MD FRCA, with the Department of Anesthesiology and Pain Medicine at UW Medicine.
Chronic pain: Role of tricyclic antidepressants, dolsulepinSudhir Kumar
Chronic pain is common. Depression often co-exist with chronic pain. This article looks at the pathophysiology, prevalence of chronic pain and depression. The role of TCA, especially dosulepin and amitriptyline has been discussed.
Postoperative pain experience among elders: A phenomenological approachiosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
Pain is the production (out put ) of the brain.
Pain is invisible disease, we can’t see it like other disease, such as struma, fracture or blind.
What you have to do is to believe what ever the patient says.
Pain is what ever the patient says it is
Pain is invisible diseases, but is real for patient.
Psychogenic Pain : Psychosomatic Point of ViewAndri Andri
This presentation was presented in "Medical Approach in Holistic Management to Relieve Pain" 13 Des 2015 at The Sunan Hotel, SOLO.
Since Pain is always subjective, Psychogenic pain is very related to psychiatric problems and very often it does not recognized by physicians in their practice.
Similar to G187 Ito, T., Sueyoshi, E. & Inoue, T. (2013). Text mining analysis of the narratives of a patient with fibromyalgia: Focusing on expressions of pain. 16th East Asian Forum of Nursing Scholars (EAFONS 2013) Forum Proceedings, 348. (19)
R232 Okada, Y., Sawaumi, T., & Ito, T. (2019). Setting Achievable Goals to M...Takehiko Ito
Setting achievable goals for students is an important part of teaching as it makes learning more effective. Our study aimed to examine how language learners are kept motivated by showing them improvements made by other nonnative speakers. We used two types of motivational tools to achieve this: video clips of the performance of former students and a visual demonstration of the changes in the Test of English for International Communication (TOEIC) scores of nonnative speakers. Study participants were 56 Japanese college students enrolled in either TOEIC preparation courses or speaking courses. Before and after demonstrating the improvements of other learners, students answered written questions regarding their language learning experiences, their beliefs about language learning, and what they learned from observing other students’ improvements. The results indicated that the motivational tools were useful in building positive attitudes toward language learning. These findings also suggested that both tools were beneficial for students in either the TOEIC preparation or speaking courses. Based on these quantitative results, we propose that it is essential to set achievable goals to keep learners motivated for task performance.
Keywords: motivation, goal setting, Japanese EFL learners, video demonstrations, Test of English for International Communication (TOEIC)
R221 Okada, Y., Sawaumi, T., & Ito, T. (2018). How do speech model proficienc...Takehiko Ito
Learners in foreign language classrooms can benefit from viewing model videos featuring other non-native speakers, which helps to develop their public speaking performance. The present study attempts to replicate Okada, Sawaumi, and Ito (2017), who demonstrated how the viewing order of different model speakers affected learners’ public speaking performance. The participants were Japanese freshmen (N = 24) enrolled English communication courses. In the classroom-oriented study, one group was shown more- and less-proficient speaker models prior to delivering the second and third presentations, respectively; the other group was shown the same models in the opposite order. To determine whether the models impacted learners in any meaningful way, self- and peer evaluations were obtained from participants following each speaking performance and analyzed in conjunction with responses to reflection papers. Results from two-way ANOVAs indicated that video-based observational learning in the viewing order of less-proficient speakers first and more-proficient ones next resulted in improved peer evaluation in subsequent performances, which was consistent with the findings of Okada et al. (2017). Responses to reflection papers revealed that either more-proficient or less-proficient speaker models helped enhance learners’ awareness of self/others and improve their own public speaking skills in the EFL classroom.
Keywords: model video, viewing order, public speaking, replication, observational
G308 Ito, T., & Uda, H. (2019, March). The spirituality of family members of ...Takehiko Ito
Abstract: Having a dream is a way to meet the deceased for survived family members. We make it clear what kind of dream the bereaved family sees, to resume communication with the deceased. Twenty-seven interview stories in the book She came to see me in my dream were analyzed by the text mining technique. The most frequently used words were nouns such as “togetherness,” “earthquake disaster,” “tsunami,” “dream,” and verbs such as “be,” “get together,” “think,” “see,” and “talk”. The future of the dream was clarified by frequency analysis of dependency and reputation analysis. It will be discussed how surviving family members often have an orientation and sense of values that are together with those of the departed soul in the dream by experiencing the encountering of shadows and the soul of the dead.
Keywords: dream, 3.11 earthquake, text mining, tsunami, spirituality, ambiguous loss
R228 Takehiko ITO, Hitomi UDA (2019). The spirituality of family members of t...Takehiko Ito
Abstract: Having a dream is a way to meet the deceased for survived family members. We make it clear what kind of dream the bereaved family sees, to resume communication with the deceased. Twenty-seven interview stories in the book She came to see me in my dream were analyzed by the text mining technique. The most frequently used words were nouns such as “togetherness,” “earthquake disaster,” “tsunami,” “dream,” and verbs such as “be,” “get together,” “think,” “see,” and “talk”. The future of the dream was clarified by frequency analysis of dependency and reputation analysis. It will be discussed how surviving family members often have an orientation and sense of values that are together with those of the departed soul in the dream by experiencing the encountering of shadows and the soul of the dead.
Keywords: dream, 3.11 earthquake, text mining, tsunami, spirituality, ambiguous loss
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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G187 Ito, T., Sueyoshi, E. & Inoue, T. (2013). Text mining analysis of the narratives of a patient with fibromyalgia: Focusing on expressions of pain. 16th East Asian Forum of Nursing Scholars (EAFONS 2013) Forum Proceedings, 348.
1. TEXT MINING ANALYSIS OF
THE NARRATIVES OF
A PATIENT WITH
FIBROMYALGIA
FOCUSING ON EXPRESSIONS OF
PAIN
1 Department of Psychology & Education, Wako University, Japan
2Department of Psychology , Meiji Gakuin University, Japan
ITO Takehiko 1) take@wako.ac.jp
SUEYOSHI Etsuko 1) & INOUE Takayo 2)
8:00-8:30 am Feb. 22nd 2013
Emerald Hotel, Bangkok PS Ⅱ-42 16th EAFONS
2. 2
The main symptoms of Fibromyalgia
(FM:線維筋痛症)
=widespread pain of unknown causes
Estimates of FM patients in Japan:
# more than 2 million patients
# 1.66% of the population
# 80% are female
Difficult to diagnose through clinical testing
Low awareness among medical practitioners
No definitive treatment, except for symptom-
atic treatment such as reducing pain
Background
3. 3
Purpose
To understand
how a patient with
fibromyalgia thinks,feels
and behaves
Based on an analysis of a
patient's blog entries
4. 4
Methods Text:“Satoko Hayase's
Fibromyalgia Journal”
Website of 505 entries (14 January 2008 - 23 July 2012)
Diagnosed with FM at 18 years old, now 26
In order for readers to understand pain
and anguish caused by FM
5. 5
Data Analysis
The journal and blog were analyzed
with text mining software
(Text Mining Studio version 4.1)
1. Overall word frequency analysis
2. Yearly change of the use of words
6. 6
Results 1. :Basic information
The total number of entries: 505 pages
The average number of characters in each
article: 163.4
The average characters in a sentence:13.4
Word types: 5,720
Words in total :
32, 720
7. 7
pain (655)
painful (485)
side effects (360)
think (思う) (253)
live (241)
fibromyalgia (164)
use (161)
need / be (144)
life (199)
opioid (118)
myself (116)
severe pain (110)
think (考える) (109)
person / people (107)
feeling (101)
understand / don't understand (97)
medication (94)
talking (93)
my body (91)
words (90)
Results 2.
Total
word
frequency
8.
9. 9
Results 3. Pain and agony
“pain” (#1) +“painful” (#2): 1,140 (36.8%)
Plus “severe”(#8)/“throbbing” (#19) pain:
1,318 (42.5%)
The frequent occurrence of pain-related
words
Predominance of painful experiences of
fibromyalgia in the narrative
11. 11
Results 4. From painful to pain
2008 (first year): “painful”
2009 (second year):“pain”and“side effects”
From direct experience of pain
here and now
To strategies for coping with
pain and medicine
12. 12
Conclusions
FM is a disease of pain
Further research on
Narrative Based Medicine (NBM)
of FM is needed (as well as EBM)
Fibromyalgia should be more
clearly recognized by:
1) the medical community
2) society in general