Healthcare for older adults with dementia is an important healthcare problem in Japan and in other developed countries. Importantly, healthcare workers in Japan are also getting older. In order to address solutions to...Healthcare for older adults with dementia is an important healthcare problem in Japan and in other developed countries. Importantly, healthcare workers in Japan are also getting older. In order to address solutions to this problem, using robots is being realized and is starting to assist healthcare and welfare practice needs. The aim of this study was to identify the characteristics of a transactive phenomenon in relationships among older adults with dementia, with nurses as intermediaries and with a cognitive skill-aid robot. Subjects were two institutionalized older adults who were diagnosed with dementia using Hasegawa’s Dementia Scale-Revised;a Kabochan (Nodding Kabochan) fixed with a remote-controlled speaker, Pechat (Kabochan with Pechat). Measurements of autonomic nervous activity were done using wearable electrocardiography attached to the subjects for four hours. Heart Rate Variability data were assessed at various frequency bands using a HRV software tool. In a continuously recorded data, interbeat (R-R) intervals were obtained for a 1-min segment using the maximum entropy method. In this study, the two major spectral components of HRV, the variances of the low-frequency (LF: 0.04 - 0.15 Hz) band and high-frequency (HF: 0.15 - 0.4 Hz) band, were calculated. Activities and behaviors of subjects transacting with Kabochan were observed by the expert nurses and video-recorded. Throughout the transaction period, observations were recorded of patients’ behavior, words uttered and over-all contents of the transactive conversation with the Kabochan or Kabochan with Pechat. Identified characteristics were transactive relationship phenomenon;changes in autonomic nervous system activity of persons with dementia are expressed as per one minute, linguistic response of elderly people, transactive relations among Kabochan, Kabochan with Pechat, and nurses as intermediaries. These were exhibited as Figures: Situation 1, A Sense of Fear, Situation 2, A Pleasant Sensation, and Situation 3, Misunderstanding and Confusion. It also showed that autonomic nervous system activity of persons with communication skills is actively changing in older adults with dementia. Conversation of adding Pechat to the Kabochan illustrated that nurses as intermediaries showed emotional conversations as established by effectively manipulating the Pechat. Also, it was revealed that if Kabochan with Pechat uttered words about patient’s personal information in a conversation, the patient felt a sense of fear. The researchers suggest that when developing future communication robot for elderly with dementia, it is necessary to consider, for an effective conversation, transactive relationships including nurses as intermediaries. The role functions of these intermediaries have been shown of high versatility, indicating that situations such as these can also be controlled by other healthcare providers such as by occupational therapists.展开更多
Since the New World Monetary Order,as designed and promoted at Bretton Woods,several policies were considered.As proposed by Hansen,Harrod,and post Keynesian,after the 60 years and after the Bretton Woods final collap...Since the New World Monetary Order,as designed and promoted at Bretton Woods,several policies were considered.As proposed by Hansen,Harrod,and post Keynesian,after the 60 years and after the Bretton Woods final collapse,a new monetary framework has been overlapping gradually most of the world financial transactions.Separately from the single global financial markets,without previous patterns and insight experiences,the new global landscape is posing new deep challenges in the present monetary stalemate.The removal of the gold benchmark on the first day of WWI(First World War)―The serious Gramm-Leach-Bliley Act 1999 repudiated the Glass-Sméagol Act.The removal caused the colossal crisis as the time deposits and unlimited monetary base expansions produced effects never seen in modern history―A colossal surge of the financial instrument market indexes and financial bubble blowing erupted.展开更多
With the development of network economy, e-commerce platform has increasingly become a worldwide trading places of various kinds of products and services. Therefore some scholars consider, intermediaries, under the ra...With the development of network economy, e-commerce platform has increasingly become a worldwide trading places of various kinds of products and services. Therefore some scholars consider, intermediaries, under the rapid development of information technology, will gradually withdrew from the historical stage. This article carried on the thorough analysis for the reasons of the existence of electronic intermediaries, and discusses the new development space and prospect of new middlemen, from the perspective of information asymmetry of the network environment.展开更多
文摘Healthcare for older adults with dementia is an important healthcare problem in Japan and in other developed countries. Importantly, healthcare workers in Japan are also getting older. In order to address solutions to this problem, using robots is being realized and is starting to assist healthcare and welfare practice needs. The aim of this study was to identify the characteristics of a transactive phenomenon in relationships among older adults with dementia, with nurses as intermediaries and with a cognitive skill-aid robot. Subjects were two institutionalized older adults who were diagnosed with dementia using Hasegawa’s Dementia Scale-Revised;a Kabochan (Nodding Kabochan) fixed with a remote-controlled speaker, Pechat (Kabochan with Pechat). Measurements of autonomic nervous activity were done using wearable electrocardiography attached to the subjects for four hours. Heart Rate Variability data were assessed at various frequency bands using a HRV software tool. In a continuously recorded data, interbeat (R-R) intervals were obtained for a 1-min segment using the maximum entropy method. In this study, the two major spectral components of HRV, the variances of the low-frequency (LF: 0.04 - 0.15 Hz) band and high-frequency (HF: 0.15 - 0.4 Hz) band, were calculated. Activities and behaviors of subjects transacting with Kabochan were observed by the expert nurses and video-recorded. Throughout the transaction period, observations were recorded of patients’ behavior, words uttered and over-all contents of the transactive conversation with the Kabochan or Kabochan with Pechat. Identified characteristics were transactive relationship phenomenon;changes in autonomic nervous system activity of persons with dementia are expressed as per one minute, linguistic response of elderly people, transactive relations among Kabochan, Kabochan with Pechat, and nurses as intermediaries. These were exhibited as Figures: Situation 1, A Sense of Fear, Situation 2, A Pleasant Sensation, and Situation 3, Misunderstanding and Confusion. It also showed that autonomic nervous system activity of persons with communication skills is actively changing in older adults with dementia. Conversation of adding Pechat to the Kabochan illustrated that nurses as intermediaries showed emotional conversations as established by effectively manipulating the Pechat. Also, it was revealed that if Kabochan with Pechat uttered words about patient’s personal information in a conversation, the patient felt a sense of fear. The researchers suggest that when developing future communication robot for elderly with dementia, it is necessary to consider, for an effective conversation, transactive relationships including nurses as intermediaries. The role functions of these intermediaries have been shown of high versatility, indicating that situations such as these can also be controlled by other healthcare providers such as by occupational therapists.
文摘Since the New World Monetary Order,as designed and promoted at Bretton Woods,several policies were considered.As proposed by Hansen,Harrod,and post Keynesian,after the 60 years and after the Bretton Woods final collapse,a new monetary framework has been overlapping gradually most of the world financial transactions.Separately from the single global financial markets,without previous patterns and insight experiences,the new global landscape is posing new deep challenges in the present monetary stalemate.The removal of the gold benchmark on the first day of WWI(First World War)―The serious Gramm-Leach-Bliley Act 1999 repudiated the Glass-Sméagol Act.The removal caused the colossal crisis as the time deposits and unlimited monetary base expansions produced effects never seen in modern history―A colossal surge of the financial instrument market indexes and financial bubble blowing erupted.
文摘With the development of network economy, e-commerce platform has increasingly become a worldwide trading places of various kinds of products and services. Therefore some scholars consider, intermediaries, under the rapid development of information technology, will gradually withdrew from the historical stage. This article carried on the thorough analysis for the reasons of the existence of electronic intermediaries, and discusses the new development space and prospect of new middlemen, from the perspective of information asymmetry of the network environment.
