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Ethnographic Research on the Impact of COVID-19 on Families with Older Adults Residing on Remote Islands in Japan: Directed Content Analysis Based on the Concentric Sphere Family Environment Theory Hohashi, Naohiro; Pinyo, Jaroensuk; Araki, Shiho; Taniguchi, Minami
Journal of Rural Community Nursing Practice Vol. 1 No. 1 (2023): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v1i1.89

Coronavirus disease 2019 (COVID-19) impacts not only on the health of individuals, but also on family functioning and a family’s well-being. Japan’s remote outer islands, with their aging populations, harbor a unique culture, and it is believed that the COVID-19 pandemic has impacted on such populations in a distinct manner. This study aims to clarify the impacts of COVID-19 on families with older adults residing on remote islands, using the Concentric Sphere Family Environment Theory (CSFET) as a theoretical framework. We conducted family ethnographic research including semi-structured interviews with 14 families on Japanese islands whose total population numbers approximately 34,000, and performed directed content analysis of impacts on the families using CSFET. Forty-three categories were extracted according to the five systems of the CSFET. For example, negative impacts such as “occurrence of concerns over the scarcity of medical institutions” in the macro system; positive impacts such as “growing consideration of the life span of older adult family members” in the chrono system; and context-sensitive impacts such as “changes in family’s awareness of infections arising from the contents of information on infectious diseases” in the macro system were identified. The islands’ characteristics, such as vulnerabilities in terms of medical care, isolated environment and strong community ties, were considered as impacting both within and outside of the family. Accordingly families with older adults experienced negative impacts, but also found positive impacts in their difficulties.

Chinese Medicine Constitution that Influences Sleep Quality and Fatigue among Chinese Nurses Working in Shifts in Japan and China Wang, Zhixia; Hohashi, Naohiro; Wu, Xiaoyu
Journal of Rural Community Nursing Practice Vol. 1 No. 2 (2023): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v1i2.205

Nurses who work in shifts may face poor sleep quality and oppressive fatigue. The purpose of this study was to clarify Chinese medicine constitution that influences sleep quality and fatigue among Chinese nurses engaged in shift work. Considering that these conditions might differ according to living environments, studies were conducted both in Japan and China. Data were gathered using the attributes of nurses, the Pittsburgh Sleep Quality Index to evaluate sleep quality, the Jikaku-sho shirabe to evaluate fatigue, and the Constitution in Chinese Medicine Questionnaire, which evaluates Chinese medicine constitution according to nine criteria. The survey was conducted via internet, with data analyzed from 100 Chinese subjects in Japan and 100 Chinese subjects in China. Increase in age, living in China, Qi-deficiency constitution and Blood-stasis constitution were causal factors for lower sleep quality. Sleep quality was significantly lower among nurses in China than those in Japan. The following factors were observed to be causal factors for increased fatigue: longer histories of working in shifts, living in Japan, poorer quality sleep, Qi-deficiency constitution, Yang- and Yin-deficiency constitution, Qi-stagnation constitution and Inherited special constitution. Nurses in Japan showed significantly greater fatigue at the end of a night shift than did those in China. It is suggested that adjustments of Qi-deficiency constitution and Blood-stasis constitution can improve sleep quality in nurses who work in shifts. We believe that improving sleep quality and making adjustments to the five types of Chinese medicine constitution can work to reduce fatigue.

Improved Deep Learning Model for Prediction of Dermatitis in Infants Setiawan, Debi; Noratama Putri, Ramalia; Fitri, Imelda; Nizar Hidayanto, Achmad; Irawan, Yuda; Hohashi, Naohiro
Journal of Applied Data Sciences Vol 6, No 2: MAY 2025
Publisher : Bright Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47738/jads.v6i2.542

Indonesia's equatorial climate, characterized by summer and rainy seasons, presents environmental conditions that contribute to a high incidence of dermatitis in infants. Dermatitis, an inflammatory skin condition, can lead to significant discomfort in infants, affecting their sleep, growth, and development. Early diagnosis is crucial for effective treatment; however, conventional diagnostic methods in clinics and hospitals—such as physical observation and parental interviews—are often time-consuming, subjective, and may lack precision, creating a need for more efficient diagnostic tools. This study explores the application of deep learning models to enhance the accuracy and speed of dermatitis diagnosis in infants. Four convolutional neural network (CNN) models were evaluated: MobileNet, VGG16, ResNet, and a Custom CNN model specifically designed for this study. Using a dataset of 1,088 skin images collected from three regions in Riau Province, Indonesia, we conducted training and testing to assess each model’s performance in distinguishing between dermatitis-affected and healthy skin. Results show that MobileNet and the Custom CNN outperformed other models, achieving accuracy rates of 97% and 85%, respectively. MobileNet’s high accuracy and efficiency make it a viable option for mobile applications, enabling rapid, on-site diagnosis in resource-limited settings. The Custom CNN model, tailored to the unique features of infant skin, also showed promising results. These findings demonstrate the potential of automated, image-based diagnostic tools for assisting medical professionals in early dermatitis detection, improving patient outcomes. This study contributes a valuable diagnostic solution that leverages deep learning to support healthcare providers, particularly in areas with limited access to specialized medical resources.

Ethnographic Research on the Impact of COVID-19 on Families with Older Adults Residing on Remote Islands in Japan: Directed Content Analysis Based on the Concentric Sphere Family Environment Theory Hohashi, Naohiro; Pinyo, Jaroensuk; Araki, Shiho; Taniguchi, Minami
Journal of Rural Community Nursing Practice Vol. 1 No. 1 (2023): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v1i1.89

Coronavirus disease 2019 (COVID-19) impacts not only on the health of individuals, but also on family functioning and a family’s well-being. Japan’s remote outer islands, with their aging populations, harbor a unique culture, and it is believed that the COVID-19 pandemic has impacted on such populations in a distinct manner. This study aims to clarify the impacts of COVID-19 on families with older adults residing on remote islands, using the Concentric Sphere Family Environment Theory (CSFET) as a theoretical framework. We conducted family ethnographic research including semi-structured interviews with 14 families on Japanese islands whose total population numbers approximately 34,000, and performed directed content analysis of impacts on the families using CSFET. Forty-three categories were extracted according to the five systems of the CSFET. For example, negative impacts such as “occurrence of concerns over the scarcity of medical institutions” in the macro system; positive impacts such as “growing consideration of the life span of older adult family members” in the chrono system; and context-sensitive impacts such as “changes in family’s awareness of infections arising from the contents of information on infectious diseases” in the macro system were identified. The islands’ characteristics, such as vulnerabilities in terms of medical care, isolated environment and strong community ties, were considered as impacting both within and outside of the family. Accordingly families with older adults experienced negative impacts, but also found positive impacts in their difficulties.

Chinese Medicine Constitution that Influences Sleep Quality and Fatigue among Chinese Nurses Working in Shifts in Japan and China Wang, Zhixia; Hohashi, Naohiro; Wu, Xiaoyu
Journal of Rural Community Nursing Practice Vol. 1 No. 2 (2023): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v1i2.205

Nurses who work in shifts may face poor sleep quality and oppressive fatigue. The purpose of this study was to clarify Chinese medicine constitution that influences sleep quality and fatigue among Chinese nurses engaged in shift work. Considering that these conditions might differ according to living environments, studies were conducted both in Japan and China. Data were gathered using the attributes of nurses, the Pittsburgh Sleep Quality Index to evaluate sleep quality, the Jikaku-sho shirabe to evaluate fatigue, and the Constitution in Chinese Medicine Questionnaire, which evaluates Chinese medicine constitution according to nine criteria. The survey was conducted via internet, with data analyzed from 100 Chinese subjects in Japan and 100 Chinese subjects in China. Increase in age, living in China, Qi-deficiency constitution and Blood-stasis constitution were causal factors for lower sleep quality. Sleep quality was significantly lower among nurses in China than those in Japan. The following factors were observed to be causal factors for increased fatigue: longer histories of working in shifts, living in Japan, poorer quality sleep, Qi-deficiency constitution, Yang- and Yin-deficiency constitution, Qi-stagnation constitution and Inherited special constitution. Nurses in Japan showed significantly greater fatigue at the end of a night shift than did those in China. It is suggested that adjustments of Qi-deficiency constitution and Blood-stasis constitution can improve sleep quality in nurses who work in shifts. We believe that improving sleep quality and making adjustments to the five types of Chinese medicine constitution can work to reduce fatigue.

Development of the Family Chronicle for Family Nursing Assessment Hohashi, Naohiro; Horiguchi, Hanna; Watanabe, Mikio; Kawabata, Yoshino; Kijima, Natsumi
JIM - Journal International Multidisciplinary Vol. 1 No. 2 (2023)
Publisher : Rumah Jurnal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58794/jim.v1i2.413

Objective: The objective of this study was to develop the Chronological Table of the Plot of Family Story (PFS) as a new tool for assessment of the family chronicle, based the Concentric Sphere Family Environment Theory proposed by Hohashi. Method: Five researchers considered the PFS so as to enable use of the family chronicle, based on the records of family ethnography (family interviews/meetings, participant observation and others) conducted in Japan, China (Hong Kong), the Philippines and Indonesia and family case studies. Results: The four-page PFS consists of “a chronological table indicating the relationship and process of the plot of family story, family drama, family story, degree of family events, and condition of changes in the family (family signs/symptoms, family beliefs, family cognition/decisions/acts, etc.).” Conclusion: The PFS is an effective family nursing tool that can visibly indicate to what degree and in what manner the plot acts on family signs/symptoms.

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