JaLCDOI 10.18926/11729
Title Alternative Public transportation and the disabled person
FullText URL 010_2_085_090.pdf
Author Higaki, Michiyo| Akazawa, Yoshiko| Ohta, Yasuyo| Akazawa, Toyoko| Ohta, Hisae| Ohno, Nobuko| Miyake, Hiromi| Ishihara, Hiroe| Matsuura, Norie| Abe, Keiko| Akagi, Mika| Ohta, Takeo| Okano, Hatsue|
Abstract 機能訓練事業として実施している「生活リハビリ教室」の教室生208名を対象に,公共交通機関を利用して外出するために障害になっている要因を明らかにする目的で,郵送法による自記式アンケート調査を行った。回答は125名(60.1%)からあった。外出経験がある者は67名(53.6%)で外出経験がない者が58名であった。外出時に付添いが必要と思っている者は,外出経験のない者に多かった。公共交通機関を利用しての外出を阻害している要因には,乗り物の昇降口に段差があることや早く発車して危険である,また周囲の人に介助を依頼しにくいことなどが挙げられている。身体機能障害者が外出できない理由は個人によって異なってはいるが,地域社会に身体機能障害者を受け入れる環境を整えていく必要がある。
Abstract Alternative A survey was distributed by mail to disabled people who received functional training in 1997. Of 208 questionnaires sent, 125 (60.1%) were returned. Sixty-seven (53.6%) of the respondents had experience traveled outside. People who participate in functional trainning for disability hope to have an attendant to accompany them when traveling. One primary factor that hinders traveling outside and using public transportation is that they cannot ask for help because of shyness. Another factor is the construction of entrances (e.g.,bumps) for vehicles which cannot be traversed easily. Reasons differed among those who had traveled outside and those who had not. It is necessary to prepare an environment (e.g., public transportationto) for ease of use for disabled persons in regional communities.
Keywords 身体機能障害者 (disabled person) 外出 (traveling) 公共交通機関 (public transportation)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2000-03-24
Volume volume10
Issue issue2
Start Page 85
End Page 90
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002313665
Author Takahashi, Terukazu|
Published Date 2007-03-31
Publication Title 文化共生学研究
Volume volume6
Issue issue1
Content Type Departmental Bulletin Paper
JaLCDOI 10.18926/12857
Author 清水 耕一|
Published Date 2005
Publication Title 北東アジア経済研究
Volume volume2
Issue issue1
Content Type Departmental Bulletin Paper
JaLCDOI 10.18926/9060
JaLCDOI 10.18926/15302
Title Alternative 気管支喘息における気道内リンパ球の出現とその意義.IgE系反応との関連について.
FullText URL 063_019_024.pdf
Author Tanizaki, Yosihiro| Kitani, Hikaru| Okazaki, Morihiro| Mifune, Takashi| Mitsunobu, Fumihiro| Tanimizu, Masakuni| Honke, Naoko| Kusaura, Yasuhiro| Kimura, Ikuro|
Abstract Relationship of the proportion of lymphocytes in bronchoalveolar lavage (BAL) fiutd to IgE-mediated reactions and to ventilatory function was studied in two age-matched asthma groups : group A of 11 subjects with BAL lymphocytes over 30% and group B of 11 subjects with BAL leyphocytes less than 10%. Of the eleven subjects in group A, 3 (27.3%) were atopic and 4 (36.4%) were non-atopic. The proportion of BAL lymphocytes in subjects with serum IgE level more than 300 IU/ml, who were all older than 50 years, was significantly higher than that in subjects with serum IgE less than 100 IU/ml in group A (p<0.05). While of the eleven subjects of group B, 5 (45.5%) were atopic and 4 (36.4%) were non-atopic. The value of % V(25) was significantly higher in the atopics compared with the non-atopics in group A (p<0.05), although no significant difference was found in the value of % V(25) between the two asthma types in group B. The results show that an increased number of lymphocytes in BAL fluid may be enhanced by IgE-mediated allergic reactions in the elderly, and that the decreased value of % V(25) may be associated withan increased number of lymphocytes in BAL fluid in non-atopics.
Abstract Alternative 気管支喘息を対象に,気管支肺胞洗浄液(BALF)中のリンパ球の出現頻度と,IgE系反応および換気機能との関連について検討を加えた。対象は,同年齢の2つのグループ,すなわち,BALF中リンパ球出現頻度30%以上の症例(グループA)と10%以下の症例(グループB)に分けて,それぞれ11例ずっで比較検討を行った。グループAでは,11例中3例がアトピー型,4例が非アトピー型であった。血清IgEが300IU/ml以上の症例(いずれも50才以上)では,100IU/ml以下の症例に比べ,BALF中リンパ球の出現頻度は,有意に高い傾向を示した。一方,グループBの11例では,アトピー型5例,非アトピー型4例であった。% Ⅴ(25)値は,グループAではアトピー型で,非アトピー型に比べ有意に高い値を示した。これらの結果は,50才以上の症例では,IgE系の反応がリンパ球の出現頻度を増強させること,そして,非アトピー型では,リンパ球の出現頻度と% Ⅴ(25)笛値との間にある程度の関連が見られることを示唆しているものと考えられた。
Keywords Lymphocytes (リンパ球) BAL fluid (BAL液) IgE antibody (IgE抗体) bronchial asthma (気管支喘息)
Publication Title 岡大三朝分院研究報告
Published Date 1992-06
Volume volume63
Start Page 19
End Page 24
ISSN 0913-3771
language 英語
File Version publisher
NAID 120002307202
JaLCDOI 10.18926/11719
Title Alternative Influence on the character of films used for density control of an automatic processor by the difference in the way of preserving
FullText URL 010_1_023_028.pdf
Author Ohno, Seiichiro| Yoshida, Akira| Inoue, Tatsuya| Kobashi, Toshimi| Morioka, Yasuki| Nakagiri, Yoshitada|
Abstract 自動現像機の濃度管理に用いられるフィルムの保存については,種々の報告がなされており,最良の方法が確立されているとは言い難い。さらに,レギュラフィルムとオルソフィルムの保存方法の違いによる濃度管理への影響,あるいはこれらの比較については,これまでほとんど報告されていない。本論文では,われわれは,レギュラフィルム,フジnew-RXとオルソフィルム,コニカSR-G,SR-VおよびSR-Hを用い,開封後,室温,冷蔵,冷凍の3種類の保存方法を採用した。われわれは,35週間3種類の保存方法で4種類 のフィルムのgross fog,speed indexとaverage gradientへの影響を調査した。その結果レギュラフィルムは,3種類の保存方法による差が認められなかった。オルソフィルムでは,冷蔵・冷凍保存に大きな特性変動が認められた。その原因として,オルソフィルムは増感色素が結露に対して敏感に影響を受けたと考えられた。
Abstract Alternative Though there are various reports on the way of preserving films used for density control of the automatic processor, it is hard to say that the best method isestablished. In addition, the influences on density control or their comparisons by the difference way of preserving film between regular and orthochromatic films have been hardly reported until now. In this paper, three ways of preserving films were employed, which were at a room temperature, in a refrigeration and in a freezer after the films were opened, using a regular film, Fuji new-RX and three orthochromatic films, Konica SR-G, SR-V and SR-H. We investigated the influences on gross fog, speed index and average gradient of four films on three different ways of preserving film for 35 weeks. As a result, new-RX film wasn't influenced by the ways of the preservation. On the other hand, the orthochromatic films were so influences sensitively that the films couldn't be used for density control. It was considered that sensitizing dye stuff got denatured by dew condensation.
Keywords 自動現像機 (automatic processor) 濃度管理 (density control) フィルム保存 (film preservation) 結露 (dew condensation)
Publication Title 岡山大学医学部保健学科紀要
Published Date 1999-12-20
Volume volume10
Issue issue1
Start Page 23
End Page 28
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002313437
JaLCDOI 10.18926/11717
Title Alternative 因果関係モデルによる腎移植レシピエントのQOLの分析
FullText URL 010_2_077_084.pdf
Author Hayashi, Yuko| Kanao, Naomi| Nakanishi, Yoshiko| Watanabe, Kumi| Hoshina, Eiko|
Abstract The purpose of this study is to analyze the structural relationship among the components of quality of life of kidney transplant recipients by using a causal model. The subjects were 329 recipients who had regular checks-up following transplantation in seven general hospitals in Tokyo, Gunma, Aichi, Okayama, and Hiroshima, and agreed to participate in this study. Ferrans and Powers's Quality of Life - Index Kidney Transplant version was used to measure perceived quality of life. The self-administered questionnaires were handed over to the subjects, who completed the instrument on the spot. After that, the answers were collected immediately. The factor analysis and the covariance structure analysis were used to make clear the structural relationship among the components of quality of life. The results of data analysis were as follows : (1) Five components of quality of life were extracted ; socio-economic functioning, family ties, emotional support, physical health, and peace & happiness. (2) The scores in the family ties dimension and the physical health dimension were higher than in the others, and the score in the socio-economic functioning dimension was the lowest. (3) The physical health showed the starting point in a causal model. (4) The physical health influenced the family ties and the socio-economic functioning. (5) The socio-economic functioning strongly influenced the peace & happiness and the emotional support. (6) The family ties influenced the socio-economic functioning, the emotional support, and the peace & happiness. Therefore, it was conceivable that it was particularly important to make approaches for the physical health, the family ties, and the socio-economic functioning dimensions to improve quality of life.
Abstract Alternative 本研究は,因果関係モデルによって,腎移植後レシピエントのQOLの構成要素間の関係を明らかにすることを目的としている。対象者は,東京,群馬,愛知,岡山,広島の7医療機関に外来通院中で,研究に同意が得られた329名の腎移植後のレシピエントである。レシピエントのQOLに関するデータは,Ferrans&PowersのQuality of Life Index―Kidney Transplant versionの測定用具を用いて収集した。収集は外来受診時に行い,対象者に自己記入式質問紙を配布し,その場で記入してもらった後,直ちに回収した。データ分析は,QOLの構成要素と構成要素間の因果関係を明らかにするために,因子分析と共分散構造分析を行った。分析結果は以下の通りである。すなわち、(1)QOLの構成要素として,社会・経済的な機能,家族の絆,情緒的な支え,身体の健康,安らぎと幸福の5つが抽出された。(2)「家族の絆」と「身体の健康」についての得点が高く,「社会・経済的な機能」についての得点が最も低かった。(3)因果関係モデルにおいて,「身体的な健康」が原点となっていた。(4)「身体的な健康」は,「家族の絆」と「社会・経済的な機能」に影響を及ぼしていた。(5)「社会・経済的な機能」は,「安らぎと幸福」と「情緒的な支え」に強く影響を及ぼしていた。(6)「家族の絆」は,「社会・経済的な機能」,「情緒的な支え」,「安らぎと幸福」に影響を及ぼしていた。したがって、レシピエントのQOLを高めるために,「身体的な健康」,「家族の絆」,「社会・経済的な機能」の側面に働きかけていくことが特に重要であると考えられた。
Keywords 腎移植のレシピエント (kidney transplant recipient) QOLの構成要素 (components of quality of life) QOLのパスダイアグラム (path diagram of quality of life)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2000-03-24
Volume volume10
Issue issue2
Start Page 77
End Page 84
ISSN 1345-0948
language 英語
File Version publisher
NAID 120002313658
JaLCDOI 10.18926/15301
Title Alternative 気管支喘息における副腎皮質ホルモン長期投与による免疫抑制と気管支肺胞洗浄液中好中球増多との関連
FullText URL 064_017_023.pdf
Author Tanizaki, Yoshiro| Kitani, Hikaru| Mifune, Takashi| Mitsunobu, Fumihiro| Kajimoto, Kazuhiro| Sugimoto, Keisuke| Yokota, Satoshi| Hiramatsu, Junichi| Kawaraya, Masashi| Harada, Hideo| Kimura, Ikuro|
Abstract Cellular composition of bronchoalveolar lavage (BAL) fluid was compared between two age-matched steroid-dependent intractable asthma (SDIA) groups : 17 group A patients (serum IgG level < 1000mg/dℓ) whose immunity was regarded as being suppressed by long-term glucocorticoid therapy and 17 group B patients (serum IgG level > 1200mg/dℓ). 1. The levels of serum IgA and IgM were significantly decreased in group A compared to the levels in group B patients. 2. The number of blood lymphocytes was also significantly lower in group A than in group B patients. However, the number of blood neutrophils was not different between the two asthma groups. 3.The number of BAL lymphocytes was significantly lower in group A than in group B patients. 4. BAL neutrophilia (more than 1.5×10 (4)/mℓ) was observed in 6 of the 17(35.3%) patients in group A, but not observed in any patients in group B. The number of BAL neutrophils was significantly greater in group A than in group B patients. These results suggest that there is a correlation between immunosuppression by glucocorticoids and BAL neutrophilia in patients with bronchial asthma.
Abstract Alternative ステロイド依存性重症難治性喘息を,免疫抑制の見られる症例(血清IgG値1000mg/dℓ以下)(グループA)と抑制の見られない症例(血清IgG値1200mg/dℓ以上)(グループB)の2群に分け,気管支肺胞洗浄液中の細胞成分について比較検討した。1.血清IgAおよびIgM値は,グループBに比べ免疫抑制の見られるグループAにおいて有意に低い値であった。2.末梢血リンパ球数は,グループAにおいて,グループBに比べ有意に少ない傾向が見られた。しかし,末梢血好中球数は両群間に有意の差は見られなかった。3.BAL液中リンパ球数は,グループBに比べ免疫抑制の見られるグループAにおいて有意に少 ない数であった。4.BAL液中好中球増多(1.5×10(4)/mℓ以上)を示す症例は, グループAの17例中6例(35.3%)に見られたが,グループBでは全く 見られなかった。また,BAL液中好中球数は,グループAにおいてグループBに比べ有意に多い数であった。以上の結果により,副腎皮質ホルモン長期投与 による免疫抑制とBAL液中好中球増多とはある程度関連があることが明らかにされた。
Keywords immunosuppression (免疫抑制) BAL neutrophilia (BAL好中球増多) glucocorticoids (副腎皮質ホルモン) bronchial asthma (気管支喘息)
Publication Title 岡大三朝分院研究報告
Published Date 1993-06
Volume volume64
Start Page 17
End Page 23
ISSN 0918-7839
language 英語
File Version publisher
NAID 120002307882
JaLCDOI 10.18926/15300
Title Alternative Clinical effects of spa therapy on bronchial asthma.
FullText URL 063_007_013.pdf
Author Mifune, Takashi| Kusaura, Yasuhiro| Honke, Naoko| Tanimizu, Masahiro| Mitunobu, Fumihiro| Okazaki, Morihiro| Kitani, Hikaru| Tanizaki, Yoshiro|
Abstract ステロイド依存性重症難治性喘息を中心に,喘息に対する温泉療法の臨床効果を,症例の背景因子に基づいて検討した。1.現年令あるいは発症年令が高い症例でより有効であった。2.非アトピー性の症例において有効率が高率であった。3.臨床病型別では,細気管支閉塞型において最も有効率が高く,17例中16例(94.1%)が有効であった。4.ステロイド減量効果は.71症例中43例(60.6%)で認められた。細気管支閉塞型の症例でステロイド減量不能の症例を多く認めた。
Abstract Alternative Clinical effects of spa therapy were studied in 93 patients in relation to allergological-characteristics. Forty-seven of the 93 patients were steroid-dependent intractable asthma. 1. Spa therapy was effective in the patients over the age of 41 and over 41 at onset. 2. Spa therapy was more effective in nonatopic patients than in atopic. 3. Regarding clinical classification of asthma type (simple bronchoconstriction type, bronchoconstriction + hypersecretion type and bronchiolar obstruction type), spa therapy was most effective in the patients with bronchioar obstruction type (94.1%). 4. In 43 of the 71 patients (60.6%), the dose of corticosteroid used was reduced by spa therapy. In the patient with bronchiolar obstruction type, reduction of corticosteroid by spa therapy was observed with a low propor-
Keywords 気管支喘息 (Bronchial asthma) 温泉療法 (Spa therapy) 臨床病型 (clinical asthmaty)
Publication Title 岡大三朝分院研究報告
Published Date 1992-06
Volume volume63
Start Page 7
End Page 13
ISSN 0913-3771
language 日本語
File Version publisher
NAID 120002307411
JaLCDOI 10.18926/11713
Title Alternative Study for self-efficacy of intensive care unit nursing
FullText URL 011_1_017_024.pdf
Author Kajikiyo, Tomomi| Kanetada, Tamayo| Nakanishi, Misako| Kubota, Chiyoka| Sumiyoshi, Kazuko| Kawata, Chieko| Yamada, Kazuaki|
Abstract ICU看護婦の看護ケアの自信(以下ICU看護ケアの自己効力とする)の程度を知り,ICU看護ケアの自己効力に影響する要因を明らかにすると同時に,ICU経験3年以上の15名の看護婦についてはICU看護ケアの自己効力とリーダーとしての自信(以後リーダーシップの自己効力とする)との関係を明らかにすることを目的する。ICU看護ケアの自己効力とリーダーシップの自己効力について尺度を作成し,ICU勤務の看護婦48名を対象として調査を行った。有効回答数は45で,平均年齢は27.8±5.0歳であった。その結果,以下の3点が明らかとなった。1.年齢,看護婦経験年数,ICUでの経験年数が増すごとにICU看護ケアの自己効力も上昇していた(年齢:r(s)=0.35,pく0.05,看護婦経験年数:r(s)=0.35,pく0.05,ICUでの経験年数:r(s)=0.56,P<0.01)。2.配属の希望の有無,職場に満足しているか否か,看護ケアが患者の回復に影響すると考えているか否かについては,ICU看護ケアの自己効力への影響を認めなかった。3.リーダー役割をとっている看護婦のICU看護ケアの自己効力とリーダーシップの自己効力の間には,有意な相関はみられなかった。
Abstract Alternative The purposes of this study were; (1) to examine the self-efficacy of ICU nursing, and (2) to clear the factors related to the self-efficacy of ICU nursing, (3) to investigate between the self-efficacy of ICU nursing and the self-efficacy of leadership for 15 nurses who had experience more than 3 years in the ICU section. Subjects were 45 ICU working nurses whose average age was 27.8±5.0. Using originally designed scales of self-efficacy of ICU nursing and the self-efficacy of leadership, we found following results; (1) the self-efficacy of ICU nursing was significantly related to age (r(s)=0.35, p<0.05), duration of experience as a nurse (r(s)=0.35, p<0.05) and that of ICU (r(s)=0.56, p<0.01). (2) there were no significant relation between the self-efficacy of ICU nursing and desire to be ICU nurse, job satisfaction and belief in positive effect of her nursing care for patient's recovery. (3) the self-efficacy of ICU nursing didn't have significant relationship to the self-efficacy of leadership.
Keywords 自己効力 (Self-efficacy) ICU看護ケア (ICU Nursing) リーダーシップ (Leadership)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2000-11-16
Volume volume11
Issue issue1
Start Page 17
End Page 24
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002313565
JaLCDOI 10.18926/15299
Title Alternative ステロイド依存性重症難治性喘息に対する温泉療法の重要性。過去10年間の181例を対象に。
FullText URL 064_001_010.pdf
Author Tanizaki, Yoshiro| Kitani, Hikaru| Mifune, Takashi| Mitsunobu, Fumihiro| Kajimoto, Kazuhiro| Sugimoto, Keisuke| Yokota, Satoshi| Hiramatsu, Junichi| Kawaraya, Masashi| Ochi, Koji| Harada, Hideo| Tada, Shinya| Kimura, Ikuro|
Abstract Characteristics of 181 patients with steroid-dependent intractable asthma (SDIA) who were admitted to our hospital and had spa therapy for last 10 years were examined in relation to the methods of spa therapy. For last 10 years, three kinds ofspa therapies were administered: spa therapy A (swimming training in a hot spring pool) in the first atage (1982-1985), spa therapy B (swimming training + inhalation of iodine salt solution) in the middle stage (1986 -1989), and spa therapy C (swimming training + inhalation of iodine salt solution + fango therapy) in the last stage (1990-1991) of this study. 1. The number of patients with SDIA who were admitted to our hospital and had spa therapy tended to increase from 2 in 1986 to 35 in 1991. 2. The number of SDIA patients over the age of 60 or over the age at onset of 40 tended to increase from the first stage to the last stage. 3. The proportion of patients from distant areas (prefectures other than Tottori) was decreasing for the last stage, although the number of these patients was increasing in recent years. 4. The proportions of patients divided by serum IgE levels and by clinical asthma types did not change for last 10 years. 5. The proportion of type Ib and type II asthma was considerably high in patients with SDIA for last 10 years. 6. Clinical effects of spa therapy were observed in 21 of the 30 (70.0%)patients with SDIA in the first stage (1982-1985) with spa therapy A, 68 of the 83 (74.7%) patients with SDIA in the middle stage (1986-1989) with spa therapy B, and 61 of the 68 (89.7%) patients with SDIA in the last stage (1990-1991) with spa therapy C.
Abstract Alternative 最近10年間に三朝分院へ入院し,温泉療法を受けたステロイド依存性重症難治性喘息181例を対象に,温泉療法の方法との関連のもとに,対象患者の背景について検討を加えた。最近10年間に3種類の温泉療法が行われた。温泉療法A(温泉プール水泳訓練)は初期(1982-1985),温泉療法B(水泳訓練+ヨードゾル吸入)は中期(1986-1989),また,温泉療法C(水泳訓練+ヨードゾル吸入+鉱泥湿布療法)は後期(1990-1991)に行われた。1.当院へ入院し,温泉療法を受けたステロイド依存性重症難治性喘息(SDIA)患者の数は,1986年の2例から1991年の35例へと増加の傾向を示した。2.SDIA患者のうち,60才以 上の症例および40才以降の発症症例の数は,1986年以降急激な増加傾向を示した。3.鳥取県以外の他県(遠隔地)からの入院患者の頻度は,近年減少の傾向を示したが,その絶対数は増加の傾向であった。4.血清IgE値はいずれの時期においても200IU/mℓ以下の症例が多い傾向が見られた。5.臨床病型では,通常の喘息に比べIb型およびII型の頻度が高い傾向が見られた。6.温泉療法の臨床効果は,温泉療法Aが行われた初期では70.0%,温泉療法Bの中期では74.7%,温泉療法Cの後期では89.7%であった。
Keywords swimming training in a hot spring pool (温泉プール水泳訓練) inhalation of iodine salt solution (ヨードゾル吸入) fango therapy (鉱泥湿布療法) SDIA
Publication Title 岡大三朝分院研究報告
Published Date 1993-06
Volume volume64
Start Page 1
End Page 10
ISSN 0918-7839
language 英語
File Version publisher
NAID 120002307391
Author 大島 昭夫| 松浦 次郎| 安井 公一|
Published Date 1982-02-27
Publication Title 岡山大学農学部農場報告
Volume volume4
Content Type Departmental Bulletin Paper
JaLCDOI 10.18926/9056
FullText URL 1_0217_0234.pdf
Author Ren, Ji| Shimizu, Koichi|
Keywords ロシア 極東地域 経済
Publication Title 北東アジア経済研究
Published Date 2004
Volume volume1
Issue issue1
Start Page 217
End Page 234
ISSN 1880-8476
language 日本語
File Version publisher
NAID 120002311127
JaLCDOI 10.18926/11710
Title Alternative Student nurses' understanding about improvement in dietary habit through their practices
FullText URL 010_2_117_122.pdf
Author Ohta, Niwa| Hayashi, Yuko| Ohta, Takeo| Hoshina, Eiko| Narusaka, Miwako|
Abstract 看護学生が自己の体験を通じて得た食習慣の改善や患者教育に関する考えを明らかにした。短大看護学科2年生84人を対象に自記式アンケート調査を行い,19歳~21歳の学生73名について分析を行った。栄養学の学習を終えた学生に通常の1日分の栄養摂取量を計算させ,それをもとにそれぞれの食習慣改善計画を立てさせ実行させた。1ヵ月後,再度摂取量の計算をさせて,前回の結果との比較の上で,自分の体験の評価をさせた。その結果,学生が主に考えたことは以下の3点に集約された。①食品の求めやすさや調理の方法の簡単さが食習慣の改善には重要である。②食習慣の改善が困難となるのは,知識の不足や意志の持続性と関連することである。③食習慣の改善の動機づけになるのは,そのことの意義を知ったり,自分の栄養摂取量を点検することである。学生は,食習慣の改善の困難さや容易さおよび患者の栄養指導における留意点について理解していた。
Abstract Alternative Self-administrative questionnaire surveys were conducted twice for 84 junior college students in 1997 and data of 73 students aged 19 to 21 years old obtained were analyzed. Students who had already learned basic dietetics were asked to calculate by themselves one-day nutritional intake, to plan how to improve their dietary habit following their data calculated and to practice those plans. One month later, they calculated the daily intake again and compared it to previous data, and described the results of their practices. Results were as follows ; 1. Easiness of purchasing materials and preparing foods is a key to improve dietary habits readily. 2. A lack of knowledge in nutrition and/or discontinuous intention are bottlenecks in improving the dietary habit. 3. For successful improvement of dietary habit, they must be motivated by the explanation of the significance of dietary improvements, self-monitoring of nutritional states. These results suggested that through this practical study, students could learn not only what things were easy and difficult in improving the dietary habits, but also what they should pay attention to in improving the dietary habit and in orienting other person's nutritional improvement.
Keywords 看護学生 (Student nurse) 栄養 (nutrition) 食習慣の改善 (dietary habit improvement) 学生の体験 (practice)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2000-03-24
Volume volume10
Issue issue2
Start Page 117
End Page 122
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002313818
JaLCDOI 10.18926/15298
Title Alternative ステロイド依存性重症難治性喘息に対する複合温泉療法の作用機序
FullText URL 063_001_006.pdf
Author Tanizaki, Yoshiro| Kitani, Hikaru| Okazaki, Morihiro| Mifune, Takashi| Mitsunobu, Fumihiro| Takatori, Akimasa| Okuda, Hiroyuki| Ochi, Koji| Harada, Hideo| Kimura, Ikuro|
Abstract Effects of complex spa therapy, which comprises swimming training in a hot spring pool, inhalation of iodine salt solution and fango therapy, were analyzed in patients with steroid-dependent intractable asthma (SDIA) by comparison between the subjects with and without efficacy of the therapy. 1. The complex spa therapy was effective in the patients with lower levels of FEV(1.0%) and % PEFR. 2. The complex spa therapy was not always effective in the patients with a low value of % V(25), which represents depressed airflow in the small airways. 3. The efficacy of the complex spa therapy was found in the patients showing a low value of % V(25) accompanied by BAL neutrophilia, but not found in those without increased proportion (more than 10% ) of neutrophils in BAL fluid. The results reveal that the complex spa therapy is effective in patients with SDIA showing low values of FEV(1.0%) and % PEFR, and in those with a low value of % V(25) and BAL neutrophilia.
Abstract Alternative ステロイド依存性重症難治性喘息を対象に,温泉プール水泳訓練,ヨードゾル吸入療法.鉱泥湿布療法からなる複合温泉療法の臨床効果の解析を行った。1.複合温泉療法は,FEV(1.0%)および% PEFR値の低い症例により有効であった。2.複合温泉療法は、細気管支領域の換気障害を示すと考えられる% V(25)値が低い症例に対して,必ずしも有効ではなかった。3.複合温泉療法の効果は,BAL液中好中球増多(10%以上)が見られ、かつ% V(25)値が低い症例により有効であったが、同様に% V(25)値が低くても,BAL液中に好中球増多 が見られない症例に対しては,有効ではなかった。以上の結果より,複合温泉療法はFEV(1.0%)や% PEFR値の低く,またBAL液中好中球増多が見られ,かつ% V(25)値が低いようなステロイド依存性重症難治性喘息に対して有効性が高いことが示唆された。
Keywords complex spa therapy (複合温泉療法) ventilatory function (換気機能) BAL neutrophilia (BAL好中球増多) bronchial asthma (気管支喘息)
Publication Title 岡大三朝分院研究報告
Published Date 1992-06
Volume volume63
Start Page 1
End Page 6
ISSN 0913-3771
language 英語
File Version publisher
NAID 120002307537
JaLCDOI 10.18926/15167
Title Alternative A case of rheumatoid arthritis with hypoproteinemia probably induced by diseasemodifying antirheumatic drug, D-Penicillamine
FullText URL 062_080_083.pdf
Author Kitani, Hikaru| Mitsunobu, Fumihiro| Mifune, Takashi| Okazaki, Morihiro| Tanizaki, Yoshiro|
Abstract 症例は52歳女性で,慢性関節リウマチ(RA)はclassical,stageIV, class 2であった。症状は進行性で加療を行うも改善がみられなかった。平成元年11月RA症状の増悪のための再入院後,Penicillamine 100~200 mg,Sulfasalazine 500mgを合せて投与を行ったところ,血沈,CRP等の検査所見は改善傾向を示したが入院時には正常値であった血清蛋白量がその後5.1g/dlまで低下し,下肢浮腫が出現,その後さらに血清蛋白量は4.1g/dlにまで減少した。治療により蛋白量は5.8g/dlにまで回復したが,低蛋白血症の原因としてはD-Penicillamineの関与が疑われた。
Abstract Alternative A patient with classical rheumatoid arthritis was treated with D-Penicillamine and other drugs. In the course of treatment, the episodes of hypoproteinemia were found twice. The first hypoproteinemia was improved almostly by supportive therapy and withdrawl of administration of medicines, including D-Penicillamine. The second hypoproteinemia was severe and resistant to the treatment. It was suggested that the agent eliciting hypoproteinemia in this case might be D-Penicillamine.
Keywords 慢性関節リウマチ (Rheumatoid arthritis) 低蛋白血症 (Hypoproteinemia) D-ペニシラミン (D-Penicittamine) 抗リウマチ剤 (Disease-modifying antirheumatic drug)
Publication Title 環境病態研報告
Published Date 1991-08
Volume volume62
Start Page 80
End Page 83
ISSN 0913-3771
language 日本語
File Version publisher
NAID 120002307840
JaLCDOI 10.18926/1454
FullText URL 22_0011_0023.pdf
Author 吉岡 文夫|
Publication Title 岡山大学大学院社会文化科学研究科紀要
Published Date 2006-11
Volume volume22
Issue issue1
Start Page 11
End Page 23
language 英語
File Version publisher
NAID 120002305927
JaLCDOI 10.18926/11708
Title Alternative Re-evaluation of spa-drink therapy for digestive diseases
FullText URL 061_073_078.pdf
Author Tanaka, Juntaro| Seno, Toshinobu| Matsumoto, Shuji| Ochi, Koji| Harada, Hideo|
Abstract 従来飲泉などの温泉治療は経験的知識にもとづいて行われる部分が多かったが,今後は科学的検査法を用いて有用性,適応疾患,適応病態,などを決定する必要がある。筆者らは,最近紹介された簡便な消化器検査法を用いて消化器疾患に対する飲泉療法の適応を再吟味しているので,これまでに得られた成績を中心に概説した。すなわち,(1)飲泉は1回でも連日の飲用でも,胃粘膜血流を改善する作用がある。(2)胃排出機能に対しては調整的効果を有する。(3)連日の飲泉は膵外分泌機能を改善する。したがって慢性の胃,膵疾患において粘膜血流障害,胃運動機能異常あるいは膵外分泌機能低下に起因する病気・病態に対しては積極的に飲泉療法を試みるべきである。温泉水の温度は40℃前後,飲泉の量は150~200ml,タイミングは食間空腹時がよい。
Abstract Alternative With the advent of new instruments for examining the digestive organs, we have attempted to re-evaluate the efficacy and indications of spa-drink therapy for digestive diseases. This report deals with an overview of the results we have obtained so far. Effect of oral intake of thermal water (Misasa thermal water, 38-42℃, 150-200 ml) on gastric mucosal blood flow was evaluated, using an endoscopic organ reflex spectrophotometry together along with an Olympus XQ - 10 forward viewing gastrofiberscope. Single intake of thermal water as well as long-term spa-drink therapy (two times a day between meals for more than two weeks) brought about an improvement of gastric mucosal blood flow. Gastric emptying function was evaluated with an acetaminophen method. Single intake of thermal water brought about disordered gastric emptying (excessively accelerated or suppressed). However, long-term spa-drink therapy brought about an improvement (normalization) of gastric emptying function. Exocrine pancreatic function was evaluated with a synthetic peptide, N-BT-PABA, and also by measuring fecal chymotrypsin actIvIty. Longterm spa-drink therapy brought about an improvement of exocrine pancreatic function. Motility of the gall-bladder was evaluated by abdominal ultra-sonography. Long-term spa-drink therapy gave no effect on the motility of the gallbladder. In conclusion, our recent study indicate that : (1) single oral intake of thermal water as well as longterm spa-drink therapy is effective for gastric diseases related to decreased gastric mucosal blood flow (treatment of intractable peptic ulcer and chronic gastritis, and prevention of recurrence of peptic ulcer) ; (2) long-term spa-drink therapy is effective for dyspepsia syndrome; (3) long-term spa-drink therapy is effective as a supplemental method in the treatment of exocrine pancreatic dysfunction (chronic pancreatitis) ; (4) thermal water should be taken between meals.
Keywords 飲泉療法 (Spa-drink therapy) 消化器機能 (Digestive function) 胃粘膜血流 胃排出能 膵外分泌 胆嚢機能
Publication Title 環境病態研報告
Published Date 1990-09
Volume volume61
Start Page 73
End Page 78
ISSN 0913-3771
language 日本語
File Version publisher
NAID 120002313368
JaLCDOI 10.18926/11707
Title Alternative Maternity swimming at Misasa Hospital of Okayama University Medical School. -Third report. The physiological changes before and after the maternity swimming-
FullText URL 061_041_045.pdf
Author Okuda, Hiroyuki| Takatori, Akimasa| Kondou, Yuuji| Sakata, Junnko| Yoshida, Sachie| Tanizaki, Yoshiro|
Abstract 第一報において妊婦水泳に関する妊婦の認識について報告し,第二報において妊婦水泳の現状とその適応について報告したが,その後も症例は順調に増加しており,現在までの参加人数は49名に達した。今回は妊婦水泳が母体と胎児の循環器系にどのような影響を与えるかを調べるために,妊婦水泳の前後におけるnon stress test(NST)と母体の血圧と脈拍数の変化を分析した。対象は妊娠5カ月以降の21名の正常妊婦とした。1.母体の脈拍数は水泳後に増加するものが約80%と明らかに多かったが,血圧は水泳前後で大きな差はみられなかった。2.NSTでは,水泳後に胎児基準心拍数の増加するものが妊娠中期で55.2%,後期で62.3%と多かった。胎児心拍数のlong term variability(LTV)は水泳後に減少するものが妊娠後期で 48.4%を占めた。3.胎動回数は水泳前後でほぼ一定であった。腹緊回数が水泳後に増加した例が妊娠後期で42.4%を占めた。これらの結果のうち,水泳後の胎児基準心拍数の増加とLTVの減少について生理学的見地より若干の考察を加えた。
Abstract Alternative The physiological changes before and after the maternity swimming were retrospectivelly analyzed in 151 records. Following findings were observed after maternity swimming: 1. An increase in maternal pulse rate was observed in 116 cases (76.8%) out of all the cases. 2. Maternal blood pressure increased in 81 cases (53.6%) and decreased in 60 cases (39.7%). 3. An Increase In baseline of fetal heart rate was found in 92 cases (60.9%). 4. Long term variability (LTV) decreased in 67 case s (44.3%) and increased in 21 cases (13.9%). 5. The number of cases with increased fetal movement was almost similar to the number of cases with decreased movement. 6. The rate of uterine contraction increased in 66 cases (43.7%), but there were no cases to need any treatment. The conclusion was as follows: 1. No dangerous changes were observed in non stress test (NST), maternal pulse rate and maternal blood pressure. 2. The increase of baseline of fetal heart rate and the decrease of LTV were characteristic changes of NST after the maternity swimming.
Keywords 妊婦水泳 (Maternity swimming) 胎児心拍数 (Fetal heart rate)
Publication Title 環境病態研報告
Published Date 1990-09
Volume volume61
Start Page 41
End Page 45
ISSN 0913-3771
language 日本語
File Version publisher
NAID 120002313490
JaLCDOI 10.18926/1341
FullText URL 16_0001_0013.pdf
Author 吉岡 文夫|
Publication Title 岡山大学大学院文化科学研究科紀要
Published Date 2003-11
Volume volume16
Issue issue1
Start Page 1
End Page 13
language 日本語
File Version publisher
NAID 120002305984
JaLCDOI 10.18926/15163
Title Alternative Relationship between vertebral transformation (or fracture) and bone mineral density in lumbar vertebrae.
FullText URL 065_115_118.pdf
Author Nakai, Mutsuo| Akiyama, Tsuneo| Kajimoto, Kazuhiro| Mitsunobu, Fumihiro| Mifune, Takashi| Tanizaki, Yoshiro|
Abstract QCTによる腰椎海綿骨骨塩量と,圧迫骨折を含む,椎体(第11胸椎~第4腰椎)の変形率の関係を検討した。椎体変形率と腰椎QCT値の間の強い相関関係が確認され,椎体変形者全体の50%はQCT値70mg/cm(3)以下に分布し,90%は125mg/cm(3)以下に分布した。さらに,この70mg/cm(3)付近での椎体変形者の割合は50%であり,125mg/cm(3)付近での椎体変形の割合は10%であった。QCTによる腰椎海綿骨骨塩量測定値は,腰椎の変形および骨折の危険性を予 測する良好な指標であることが確認できた。
Abstract Alternative In 360 females, Bone mineral density (BMD) in lumbar vertebrae (L2-L4) was assessed by quantitative computed tomography (QCT), and the values obtained were compared with the frequency of vertebral transformation or fracture as assessed by lateral scan image (scanogram) by X-ray CT. A correlation was observed between the frequency of vertebral transformation (or fracture) and lumbar BMD values : BMD under 125mg/cm(3) was observed over 90% of women with vertebral transformation, and BMD under 70mg/cm(3) was found about 50% of them. These results suggest that decrease in BMD in lumbar vertebrae leads to vertebral transformation or fracture. Thus, measurement of BMD by QCT would be very useful in predicting vertebral transformation or fractures.
Keywords 骨粗鬆症 (osteoporosis) 骨塩量 (bone mineral density) QCT (quantitative computed tomography) 腰椎 (lumbar vertebrae)
Publication Title 岡大三朝分院研究報告
Published Date 1994-09
Volume volume65
Start Page 115
End Page 118
ISSN 0918-7839
language 日本語
File Version publisher
NAID 120002307136