This event is to explore Glover Garden to enhance the satisfaction of inbound tourists who visit there.
There may be issues such as language barrier, accessibility and so on.
Participants can enjoy walking around there and find if there are any barriers for tourists.
Entrance fee, voice pen (guided language) and soft drink at Glover cafe are included.
Dates: April 5th and 12th, from 1 PM to 3 PM
Schedule: 1:00 Meet at the front of the first gate (Not the side of Glover sky road) and we will enter together. We are not able to wait for anyone who is late. After the short instruction of this survey, each participant will tour Glover Garden.
2:15 Focus group at Steele Memorial Academy. The room is located at the end of the corridor on the second floor (This place is usually closed to tourists!). We use KJ-method to explore issues and solutions. https://www.mycoted.com/KJ-Method
3:00 After completing the questionnaire, we give you a gift and you all are free to enjoy Glover Garden!!
We have some requirements for participation:
We only need 6-10 volunteers each day.
English speaking ability for discussion (non-Japanese) is needed for focus groups.
Completing a questionnaire is necessary after the focus group.
Pictures and movies in this survey will be used for advertisement (we can take them of your back if you want). Please contact us for more details and to request participation.
The number of participants is limited. Please send an e-mail to us.
This event is organised by Ai International Medical Research Institute and is sponsored by Glover Garden.
NIPPON DATA90 Research Group (2019). Association of work situation with cardiovascular disease mortality risk among working-age Japanese men: A 20-year follow-up of NIPPON DATA90. Circulation Journal, 83(7), 1506-1513. https://doi.org/10.1253/circj.CJ-18-1067
About 20% of patients with breast cancer are likely to develop breast cancer-related lymphedema (BCRL) following an axillary clearance, and BCRL can be refractory or irreversible to treatment.
The aim of this pilot randomized controlled study was to evaluate the effectiveness of a 10-min holistic self-care program for patients with BCRL in Japan.
The intervention group (n = 22) practised the BCRL self-care program including1) modified Japanese Radio Taiso (Rajio Taiso, national calisthenics in Japan), 2) gentle arm exercises combined with deep breathing, 3) central lymphatic drainage, and 4) skin care using a traditional lymphatic drainage technique daily for 6 months, while the control group (n = 21) received usual care from their hospitals.
There was significant group*time interaction in the relative edema volume and relative volume change of the hand, with the intervention group having the better outcome. The intervention group showed significant improvement in transepidermal water loss as well as the mental health component summary score of the SF-8, most of BCRL-related symptoms, self-care time and score, frequencies of exercise, self-lymphatic drainage and skin care, and perceived adherence and effectiveness to self-care, although we were unable to exclude the possibility of the Hawthorne effect. Notably, even in the control group, the self-care was similarly increased, but the significant improvements were detected only in transepidermal water loss on the forearm and upper arm, pain and coldness.
In conclusion, the patients who practiced the holistic BCRL self-care for 6 months have shown greater improvement.
L., Piller N. B., Carati C. J. (2005): The effect of gentle arm exercise and
deep breathing on secondary arm lymphedema, Lymphology, 38(3), 136–145.
入浴直後皮膚の水分が蒸散しないうちに実施し，患側の肩，上腕，前腕，手の順に鎖骨窩リンパ本幹に向かってロート製薬株式会社のディーアールエックス® AD パーフェクトバリア® ボディミルクを塗布しながら軽擦を行ってもらいました。各部位一度ずつ撫でる程度で保湿が主な目的です。第Ⅰ相試験ではスウィートアーモンドオイルとグレープフルーツオイルを使ったのですが、赤くなるなどの皮膚反応を起こす対象者がいたため、本試験では、アトピー性皮膚炎で安全性と効果を検証された本剤を使用しました。リンパ浮腫は皮膚の問題であると言っている研究者もいるように、皮膚バリア機能が低下した対象者に配慮し、保湿剤を選びました。
ARINAGA, Yoko, et al. The 10-Min Holistic Self-Care for Patients with Breast Cancer-Related Lymphedema: Pilot Randomized Controlled Study. The Tohoku journal of experimental medicine, 2019, 247.2: 139-147.
Arinaga, Y., Sato, F., Piller, N., Kakamu, T., Kikuchi, K., Ohtake, T., Sakuyama, A., Yotsumoto, F., Hori, T. &Sato, N. A 10 Minute self-care program may reduce breast cancer-related lymphedema: a six-month prospective longitudinal comparative study. The Journal of Lymphology. 49, 93-106. 2016.