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Currently, medical institutions are not only pursuing technology, but are also practicing various attempts to provide safety and comfort in the environment, taking into consideration the emotional burden on patients and their families. Among these, "hospital art," which brings art into the medical field and actively utilizes the positive effects it can have on the viewer, is a representative activity. This paper describes the process of creating hospital art at Sanyo-onoda Municipal Hospital.

Yamaguchi Prefectural University offers a "CG Training" course to help students acquire the knowledge and skills to use CG software. In addition, this university is involved in various initiatives with external organizations as part of a regional cooperation, and the "foster parent system" discussed in this report is one such initiative. This paper reports on the process of the "Foster Care System Awareness Poster" project.

“Introduction to Lifelong Learning” is a common and compulsory subject required by librarians, curators, and social education directors for certification in Japanese higher education. However, no research has been conducted on the contents of this subject. Thus, this study aims to clarify the knowledge acquired in the subject based on an analysis of index terms in textbooks. The primary results are as follows: (1) this subject is connected to adult and community education; (2) the subject contents depend on the type of certificate; (3) there are few common terms in the indices; (4) indices contain many terms specified in law as well as the names of foreign people; and (5) there are fewer words related to educational administration or learning support than to lifelong education or educational facilities.

The introduction of the long-term care insurance system and revisions to the Medical Care Act have increased the number of patients with intractable diseases who receive care in home settings. However, dissatisfaction and confusion were reported by patients and their caregivers when managing intractable diseases at home. To address this, a community care system was suggested as a "new system to support intractable diseases." This is in line with the Intractable Diseases Act, which aims to achieve and build collaborative relationships in which both parties and supporters can work together. Thus, in this study, the formation of a system for long-term, home-based, and community-centered care for patients with intractable diseases was composed across four chapters. This project also aims to investigate the feasibility and implementation of a community care system for intractable diseases. Chapter 1 reviews the history and research of community care systems for intractable diseases. It outlines the absence of specific measures for the establishment of a regional community care system, and the challenges of addressing individual cases of intractable diseases as regional issues. It also emphasizes the importance of understanding and addressing drastic changes in medical care of such patients in a timely manner. However, presently, little is known about the actual situation of patients with intractable diseases. Chapter 2 examines how patients with intractable diseases who receive home-based care rebuild their own lives. For these patients to continue their life at home, they must strive for self-management and receive the necessary support to build a lifestyle that adapts to long-term medical care. Building trust with health care providers and their engagement with systemic gaps has a significant impact on patients’ quality of life. Chapter 3 explores the experiences of a patient with an intractable disease who struggles with home-based care, its limitations, and deciding when to visit a health facility. They share that their life is unstable and repeatedly restructured, forcing them to make passive decisions when visiting a health facility, thereby experiencing a loss of autonomy and resulting in feelings of “giving up.” In Chapter 4, we examine the possible implementation of a community care system based on our findings. Such systems for intractable disease patients require a dual structure of common and individual systems, which can complement each other and enable multidisciplinary, professional support for intractable disease patients with a high level of individuality. The establishment of community care systems for patients with intractable diseases can lead to the construction of a more comprehensive healthcare system that addresses a wider range of health concerns.

This study was conducted to investigate the actual contamination of chicken meat with pathogenic microorganisms at each stage of the food chain, to clarify the risk of foodborne diseases, and to examine measures to reduce the risk. The survey at the distribution stage revealed that Campylobacter was isolated from 35.7% of commercial chicken meat in Yamaguchi Prefecture, and that the contamination rate was high in specific parts such as liver and during the summer season. Genotyping of the isolates by the mP-BIT method confirmed the presence of pathogenic genes and a high level of contamination with fluoroquinolone-resistant bacteria, which are feared to make treatment of infectious diseases more difficult. These results suggest that the disinfection of commercial chicken meat distributed in this prefecture is not sufficiently reduced in terms of foodborne diseases risk by the time they reach the distribution stage. Therefore, it is important to prioritize risk reduction measures at the consumption stage of chicken meat, and it is necessary to further educate consumers on the prevention of foodborne diseases. A survey at the chicken slaughtering stage showed that chicken meat shipped from a chicken slaughterhouse in Yamaguchi Prefecture was highly contaminated with Campylobacter, and that the disinfection of chicken meat by the cooling process using sodium hypochlorite at the facility was not sufficient to reduce the risk of foodborne diseases. In the future, it is necessary to improve sanitation management, such as the type of disinfectant, concentration used, and cooling time, in accordance with the actual conditions of the number of broiler processed and equipment at the facility. In addition, it was considered necessary to examine measures to prevent contamination of broiler at each production farm. A survey of several farms at the production stage revealed that the Campylobacter-positive rate was 46.9% in the Chugoku region and 75.0% in the Kyushu region, and the Salmonella-positive rate was 84.4% in the Chugoku region and 89.3% in the Kyushu region. The different characteristics of the contamination status of farms and broiler flocks, the bacterial species and serotypes, genotypes, and the acquisition of drug resistance were observed in the different regions. Therefore, it is important to take regional characteristics into consideration when clarifying the risk of foodborne diseases of chicken meat and considering measures to reduce the risk. The investigation of contamination factors in farms and broiler houses suggested that although the environment inside and outside the broiler house and feed were not factors for Campylobacter invasion and spread, contamination spread to the feeding environment through feces of infected broiler after 5 to 6 weeks of brooding. In addition, continuous contamination of Salmonella was confirmed in the feeding environment, including the bedding material (recycled fermented litter) of the broiler house. The results also suggested the spread of Salmonella through feed and workers. Therefore, it is necessary to strengthen measures to reduce the risk of food poisoning by improving farm broiler feeding hygiene management manuals and introducing hygiene management based on Hazard Analysis and Critical Control Point (HACCP). In particular, it is necessary to establish Critical Control Points for sanitary management of bedding (recycled fermented litter) and to verify fermentation temperatures and times that can completely destroy the bacteria. In order to promote appropriate sanitary management based on HACCP at the chicken slaughtering and production stages, effective foodborne diseases risk reduction measures should be implemented at each stage of the chicken meat food chain based on the knowledge obtained in this study under cross-field collaboration and cooperation among various entities such as government health departments, livestock breeding departments, research institutes, businesses, and consumers. Based on the findings of this study, it is necessary to take effective measures to reduce the risk of foodborne diseases at each stage of the chicken meat food chain to ensure food safety and security.

The purpose of this study was to clarify the current status of support for children with chronic diseases through interprofessional collaboration and Yogo teachers’ roles in such collaboration. In inclusive education systems, it isimportant to develop various flexible structures that allow the teaching of children with individual educational needs, with a view to promoting their independence and social participation while fulfilling their needs. However, collaborative systems between schools and related institutions are still insufficient, and Yogo teachers’ roles in interprofessional collaboration remain unclear. Therefore, the need for studies to clarify the current status of support through interprofessional collaboration andYogo teachers’ roles in such collaboration was realized. This paper consists of 4 chapters. Chapter 1 specifies the background and objective of the present study, and discusses the current status of support through interprofessional collaboration and Yogo teachers’ challenges to carry out their roles in such collaboration based on policy trends for children with chronic diseases and the related literature. Chapter 2details a hypothetic model on Yogo teachers’ roles in interprofessional collaboration formulated from the quantitative analysis of data obtained from interviews with four institutions. Chapter 3 examines Yogo teachers’ roles that affect the outcomes of interprofessional collaboration based the quantitative analysis of data obtained from a questionnaire survey involving Yogo teachers working at public elementary/junior high schools. Chapter 4 describes the findings regarding Yogo teachers’ roles ininterprofessional collaboration. In the present study, the hypothetic model was evaluated and it was found that [support approaches to fulfill educational needs] lead to [agreement among supporters], and affect the [outcomes of interprofessional collaboration], such as <establishment of trust-based relationships with various other professionals/institutions>,<systems for handover when children are promoted to the next grade or proceed to the next level of education>, <broadened the understanding of children and methods to support them>, and <guarantee of a prosperous life for children with chronic diseases>. [Support approaches to fulfill educational needs] are part of individualized support, provided through <commitments to nurture self-esteem in children>, <perception of changes in physical condition through daily observations of health and analysis of records>, and <support based on characteristics>. [Agreement among supporters] is the step to build support systems through collaboration with teachers and various other professionals,including <information transmission byYogo teachers>, <development ofin-school support systems by information-sharing>, <understanding of Yogo-teachers by principals> and <acquisition of health management methods focusing on child development>, with this last item having the greatest impact. Specifically, Yogo teachers must provide support tailored to each chronically ill child’s characteristics to assist them in the acquisition of health management methods centered on development in conjunction with multiple professionals.But also to provide education that promotes understanding about children with chronic diseases by recognizing that the children around them are also supporters. Yogo teachers are expected to play a role as coordinators in promoting cooperation among multiple professions with shared goals of support and normative integration. Furthermore, they must provide support tailored to the children’s characteristics through daily observation and record analysis, disseminate support content for the educational needs of children with chronic diseases, deepen the understanding of principals and teachers, and develop an environment where the entire school can respond as a team. Above all, it is important to collaborate with multi-professionals to create support that allows children with chronic diseases to acquire their own health management methods as the subject of their own development.

Despite the various harmful effects caused by tourism, such as over tourism, there are few concrete measures to promote tourism and community development in an integrated manner. The background to this is that in tourism policies, indicators that are biased toward the evaluation of tourism exchange performance are set, and there is a lack of indicators that question the degree of involvement with the local community. On the other hand, in Europe and other countries, they contribute to the development of sustainable local communities by installing unified indicators (“ETIS” and “DIT-ACHIEV”) for advancing projects while considering tourism and regional formation from multiple perspectives. It should be a great example for Japanese local communities. The purpose of this study: Therefore, in this paper, we will analyze the factors that prevent the establishment and spread of indicators in the current situation, and analyze the method of setting indicators with high versatility based on the current situation. To accomplish these ends, the authors of this paper have tried to do questionnaire survey conducted by mail to 212 DMOs nationwide from November to December 2021. The conclusion of this paper: It was found; 1) Japanese DMOs lack the common purpose of "aiming for sustainable tourism", 2) Data collection for KPI is a burden for each DMO, 3) Relationship between DMOs and local residents is still weak, and in the first place, improvement in this point is desired.

Despite the various harmful effects caused by tourism, such as over tourism, there are few concrete measures to promote tourism and community development in an integrated manner. The background to this is that in tourism policies, indicators that are biased toward the evaluation of tourism exchange performance are set, and there is a lack of indicators that question the degree of involvement with the local community. On the other hand, in Europe and other countries, they contribute to the development of sustainable local communities by installing unified indicators (“ETIS” and “DIT-ACHIEV”) for advancing projects while considering tourism and regional formation from multiple perspectives. It should be a great example for Japanese local communities. The purpose of this study: Therefore, in this paper, we will analyze the factors that prevent the establishment and spread of indicators in the current situation, and analyze the method of setting indicators with high versatility based on the current situation. To accomplish these ends, the authors of this paper have tried to do questionnaire survey conducted by mail to 212 DMOs nationwide from November to December 2021. The conclusion of this paper: It was found; 1) Japanese DMOs lack the common purpose of "aiming for sustainable tourism", 2) Data collection for KPI is a burden for each DMO, 3) Relationship between DMOs and local residents is still weak, and in the first place, improvement in this point is desired.

The purpose of this study was to clarify the relationship between healthy life expectancy and lifestyle and other factors by utilizing real-world data such as open data from the National Database on Receipt Information and Specified Health Examination (NDB), which contains data on specified health examinations for approximately 20 million people nationwide. In men, fasting blood glucose of 126 mg/dL or more and financial capability index showed a negative correlation with healthy life expectancy, while sports activity rate and hobby activity rate showed a positive correlation with healthy life expectancy. In women, fasting blood glucose of 126 mg/dL or more and smoking habit showed a negative correlation with healthy life expectancy.

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In recent years, the importance of the co-creative communication approach has often been highlighted when examining communication in children with congenital deaf-blindness and children with severe and multiple disabilities. This paper describes some episodes of dyadic interactions and triadic interactions in a child with CHARGE syndrome and parents based on romantic science, and interprets it from the perspective of co-creative communication. It was suggested that an approach based on various signs and physical reactions of children with congenital deaf-blindness in actual communication situations is important for the co-creation communication approach.

An online questionnaire was administered to 143 university students to clarify their perception of the elderly and its related factors. Consequently, the elderly that formed the basis of the students’ perception regarding older adults were in the following order: “grandparents” > “the elderly in the community” ≥“the elderly in various media.” Furthermore, the students’ perception of the older adults was related to “frequent contact with grandparents,” “quarrel with grandparents,” “pleasant activity with the elderly in the community,” “training session offered by the elderly in the community,” “experience of being scolded by the elderly in the community,” “contents of various media for respect for the elderly,” and “contents of various media for the care of the elderly.” Our findings suggest that experiences with grandparents and older people in the community and various media may play an essential role in having a more positive perception of the elderly for students.

A multiple-choice questionnaire was administered to university students to investigate their positive changes during the coronavirus disease 2019 (COVID-19) pandemic. The data revealed that more than three-fourths of the students felt positive changes in relationships and values. Additionally, approximately half of the students felt positive changes in customs and behavior, while 20%–30% felt positive physical and mental vitality changes. Our findings suggest that it may be necessary for university students to notice their positive changes as being essential for growth during the COVID-19 pandemic.

In this article, we describe an attempt to prepare teaching materials to efficiently process NDB open data. The teaching materials consist of explanations of NDB open data and instructions of data processing using Visual Basic for Applications (VBA), a programming language that can be used with the spreadsheet software Excel. In addition, the teaching materials allow students to understand the advantages of using VBA by comparing it to working with Excel worksheets. Finally, we asked them to solve VBA-related problems and confirmed their understanding of the teaching materials.

In the "Japanese Language and Expression" class, students are expected to consolidate cross-disciplinary knowledge by interacting with others and to express their own and their group's judgments in a logically constructed manner. The purpose of this paper is to discuss how report assignments should be designed in the above-mentioned Japanese writing class in order for learners to acquire multiple and comprehensive perspectives. In the class, a type of cooperative learning called the jigsaw method is used. In the jigsaw group, knowledge is exchanged and discussed while coming to terms with each other, and the level of knowledge aggregation is deepened to aggregation, cohesion, and fusion. It is necessary to design the report assignment so that the level of knowledge aggregation can reach the level of fusion, from which new ideas can be generated and developed for the next learning.

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For the purpose of clarifying the relationship between mortality rate of all causes of death and Mortality rate from malignant neoplasms and lifestyle-related factors and other factors by utilizing the open data of the receipt information / specific medical examination information database (NDB), We examined the health issues of Japan and Yamaguchi Prefecture from the perspective of a registered dietitian. In men, "fasting blood glucose level 110 mg / dL or more", "systolic blood pressure 140 mmHg or more", "drinking more than 2 times on drinking days" and the mortality rate of all causes of death showed an association, and "the frequency of drinking alcohol every day", "drinking more than 2 times on drinking days" and mortality rate from malignant neoplasms showed an association. In women, the mortality rate of all causes of death was associated with "diastolic blood pressure of 90 mmHg or more", "smoking habit", and "weight gain / loss in one year is ± 3 kg or more", and "smoking habit" was mortality rate from malignant neoplasms to malignant neoplasms. Mortality was associated.

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As substances corresponding to annulenes in Y-aromatic compounds, tridentenes were proposed by the authors. In this description, by revision of existing papers, a discussion on the magic number of tridentenes, which corresponds to Hückel’s 4N+2 rule, and arguments regarding typhoon tridentene and cyclone tridentene, which are expected to have stereoselective inclusion forming ability, are presented.

This paper clarifies the work undertaken by public assistance caseworkers in Yamaguchi Prefecture by analyzing their weekly work diaries and comparing them with the work stipulated in the Public Assistance Act and the Social Welfare Act. The work of public assistance caseworkers was subdivided into 21 items. When the contents of the work were classified into the four categories of work stipulated in the Social Welfare Act, 44.6% of the work was made up of interviews; 24.5% was investigation; 47.9% was decision-making, and 1% was providing guidance. These findings indicate that public assistance caseworkers conduct interviews with those receiving assistance and with others connected with them, make decisions regarding whether to provide public assistance, and provide guidance according to the situation for the purpose of investigations that form the basis for the proper administration of public assistance. In addition, the ratio of the different aspects of their work indicates that there are only a few guidance tasks related to handling cases of fraud. Public assistance caseworkers have the heavy responsibility of having a high level of decision-making ability in deciding whether to provide public assistance as a physical manifestation of citizens’ right to life, based on the information obtained from investigations related to interviews with those receiving assistance. 　Furthermore, with regard to the discretionary power of public assistance caseworkers in carrying out their work, it was found that although there is no room for discretion in the application of the law in guaranteeing a minimum standard of living, as this is a legally mandated task, they do have discretion in promoting self-reliance because they implement self-reliance support programs that are tailored to the situation on the ground in individual welfare offices. In addition, although there is no room for discretion regarding how to allocate energy when dealing with applications for starting or changing assistance due to the time constraints in the process leading up to making a decision, it was found that discretion was given to caseworkers in cases where they were making visits to households receiving continuing assistance, as these were planned on a yearly and monthly basis and implemented systematically.