- 著者
- Sho Maruyama Satoshi Sasada Yohei Jinbo Peter Bontje
- 出版者
- Japanese Association of Occupational Therapists
- 雑誌
- Asian Journal of Occupational Therapy (ISSN:13473476)
- 巻号頁・発行日
- vol.17, no.1, pp.17-25, 2021 (Released:2021-03-18)
- 参考文献数
- 25
Introduction: Acquiring competence in clinical reasoning is regarded as key to meet the challenges of integrating knowledge into one's practice. Learners and educators need a shared understanding of what is clinical reasoning because they need appropriate means for reflection and feedback. However, the clinical reasoning concept needs revisiting in the current context, which is becoming increasingly diverse and complex. The purpose of this study was to analyse the clinical reasoning concept and develop a common framework.Methods: Rodgers' concept analysis was selected for this theoretical study. Accordingly, a systematically search of multiple databases yielded 903 articles and 135 articles that met the inclusion criteria were extracted, and of these 30 articles randomly sampled for analysis. Data analysis was done following Rodgers' method of thematic analysis. Results: The attributes were four ‘therapeutic thinking processes’ and two ‘professional thinking skills.’ The application contexts were ‘clinical and non-clinical practice settings,’ and ‘professional education.’ Moreover, the antecedents were ‘professional factors’ and ‘practice factors,’ and the consequences were ‘professional developments’ and ‘professional attitudes and behaviours.’ Conclusion: The resulting framework of clinical reasoning can be the basis for developing pedagogies and assessment of clinical reasoning competence acquisition.
- 著者
- Sho Maruyama Satoshi Sasada Yohei Jinbo Peter Bontje
- 出版者
- Japanese Association of Occupational Therapists
- 雑誌
- Asian Journal of Occupational Therapy (ISSN:13473476)
- 巻号頁・発行日
- vol.16, no.1, pp.119-127, 2020 (Released:2021-01-13)
- 参考文献数
- 25
Introduction: Acquiring competence in clinical reasoning is regarded as key to meet the challenges of integrating knowledge into one's practice. Learners and educators need a shared understanding of what is clinical reasoning because they need appropriate means for reflection and feedback. However, the clinical reasoning concept needs revisiting in the current context, which is becoming increasingly diverse and complex. The purpose of this study was to analyse the clinical reasoning concept and develop a common framework.Methods: Rodgers' concept analysis was selected for this theoretical study. Accordingly, a systematically search of multiple databases yielded 903 articles and 135 articles that met the inclusion criteria were extracted, and of these 30 articles randomly sampled for analysis. Data analysis was done following Rodgers' method of thematic analysis. Results: The attributes were four ‘therapeutic thinking processes’ and two ‘professional thinking skills.’ The application contexts were ‘clinical and non-clinical practice settings,’ and ‘professional education.’ Moreover, the antecedents were ‘professional factors’ and ‘practice factors,’ and the consequences were ‘professional developments’ and ‘professional attitudes and behaviours.’ Conclusion: The resulting framework of clinical reasoning can be the basis for developing pedagogies and assessment of clinical reasoning competence acquisition.
- 著者
- Sho Maruyama Sayuri Tatsuo Soichiro Tatsuo Saya Iida Fumiyasu Tsushima Satoru Ide Shingo Kakeda
- 出版者
- Japanese Society for Magnetic Resonance in Medicine
- 雑誌
- Magnetic Resonance in Medical Sciences (ISSN:13473182)
- 巻号頁・発行日
- pp.mp.2021-0144, (Released:2022-03-17)
- 参考文献数
- 45
Purpose: The human primary auditory cortex is located in the Heschl’s gyrus (HG). To assess the intrinsic MR property in the gray matter of the HG (GM-HG) with T1 and T2 values using a commercially available MR fingerprinting (MRF) technique.Methods: The subjects were 10 healthy volunteers (with 20 HGs; mean age, 31.5 years old; range, 25–53 years old). Coronal T1 and T2 maps were obtained with commercially available MRF using a 3-Tesla MR system. Two radiologists measured the T1 and T2 values of the GM-HG, the GM in the superior temporal gyrus (GM-STG), and the GM in the middle temporal gyrus (GM-MTG) by drawing a ROI on coronal maps.Results: For both radiologists, the mean T1 and T2 values of the GM-HG were significantly lower than those in the GM-STG or GM-MTG (P < 0.01). The interobserver reliability using the intraclass correlation coefficients (ICC) (2,1) showed strong agreement for the measurement of the T1 and T2 values (ICCs =⃥ 0.80 and 0.78 for T1 and T2 values, respectively).Conclusion: The T1 and T2 values on MRF for the GM-HG were lower than those for the GM-STG and GM-MTG, likely reflecting a higher myelin content and iron deposition in the GM-HG. Quantitative measurements using the MRF can clarify cortical properties with high reliability, which may indicate that MRF mapping provides new insights into the structure of the human cortical GM.