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| 1.
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神田, 清子 ; 飯田, 苗恵 ; 石田, 和子
概要:
application/pdf<br />Departmental Bulletin Paper<br />がん化学療法が造血器腫瘍患者の食事摂取におよぼす影響を明らかにし,食事援助のあり方を検討する目的で,入院中の造血器腫瘍患者45名を対
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象に化学療法前・中(薬剤投与3-4日目)・後(薬剤投与終了後10日目)に面接法と観察法を用い縦断的に調査を行った。主な調査内容は,化学療法の副作用である消化器症状,食事摂取量および食事嗜好である。また,化学療法前から後10日目まで喫食量調査に協力が得られた4名については化学療法に伴うエネルギー摂取量と蛋白摂取量を分析した。調査日に提供された病院の全食事量に対する患者の摂取割合の平均は,化学療法前が82.9%,化学療法中が77.1%,化学療法後が67.6%であり,化学療法前と後では有意差が認められた。化学療法中と後の摂取量に影響をあたえていた消化器症状は,嘔吐,下痢症状および味覚変化であった。化学療法中と後に食べやすい食品は,さっぱりした物や飲み物,麺類であり,食べにくい食品は揚げ物や魚介類であった。化学療法中と後に嘔気,口内炎などの消化器症状が強く出現した事例では,その期間の蛋白摂取量は基準に満ちておらず,摂取エネルギー量は基礎代謝量にさえ達しなかった。以上より化学療法による摂取エネルギー量の低下を予防するには,嘔気,下痢,味覚変化を早期にアセスメントし,緩和のための看護介入を適切に行う。病院食として化学療法食,口内炎食を導入するなどのシステム化をすすすめることも大切であると思われる。
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| 2.
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神田, 清子 ; 栃原, 裕大 ; 中, 忠勝 ; 飯田, 苗恵 ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />The present study was undertaken to determine risk factors associated with bathroom falls among the elderly. The subjects were 103 elderly people ranging in age from 65 to 92 who
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could undress and bathe without assistance, living in Gunma Prefecture, Japan. The facilities and structure of the bathroom were measured to investigate the effect of bathroom falls. Subjects were asked about falls in the bathroom. The results following were obtained. 1. The rate of falls at the bathroom was 9.7% among the elderly, 16.2% among men, 4.5% among women. There was a significant gender difference in the rate of falls. 2. Causes of falling among the elderly were extrinsic (environmental) factors such as stumbling over duckboards and slipping on tile. 3. There was no association between falls and the facilities or structure of the bathroom. 4. To prevent of slipping in the bathroom among the elderly, mats, duckboards and handrails were useful. Some cases had inadequate measures to prevent slipping. These results suggest that (1) we should provide exact information concerning measures to prevent falling in the bathroom, and (2) it is necessary to set up handrails in the bathroom to prevent falling.
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| 3.
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中村, 美代子 ; 神田, 清子
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application/pdf<br />Departmental Bulletin Paper<br />We produced a nursing standard manual to accept patients with HIV/AIDS at the general ward. Four patients who were nursed according to this manual are reported. The manual is
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summarized as follows. 1. Concerning the prevention of infection, different measures are taken between the period of an symptomatic carrier and that after the onset of HIV infection. 2. To tell the patient that he/she has HIV/AIDS, the patient is hospitalized for about 1 week. Nurses primarily perform mental care while confirming patient's reactions after pronouncement. 3. Daily life guidance after discharge is performed so that the patient control the disease and prevent infection by himself/herself, and the patient and family may not entertain unnecessary apprehensions. 4. Nurses closely listen to patient's complaints. Secret is strictly kept, and nursing intervention without prejudice or discrimination is advanced. Using this nursing standard manual, HIV antibody-positive/AIDS patients could be accepted at the general ward.
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| 4.
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飯田, 苗恵 ; 神田, 清子
概要:
application/pdf<br />Departmental Bulletin Paper<br />At our college., visiting nursing has been added to the practical, training given to students in the last four years. In this paper, the characteristics of the subjects visited, the type
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of care required, the items learned though practice were investigated and the valve of practice for the recent two years was evaluated. 1. The subjects visited were relatively young compared with the national demographics, heavily disabled and regiring a large quantity of care, such as management of Catneter. Subjects are generaly well cared for by an aged spouse. 2. Regarding the type of care needed, drug control was need by a few, but there were no cases reguiring feeding, inspection assistance or assistance with other medical examinations. 3. The items learned through practice are varied. Although there are many descriptions of home-care persons, family and home presented in class, it is considered that this practice is a good opportunity to recognize the subjects as human beings. 4. In evaluating the valve of practice, item ""Acquired the ability of building teamwork with the home doctor, public health nurse and helper in case of need"" recievedau extremely low score. It is suggested that it is required to select suitable homes for more effective learning, to improve the teaching methods to achieve sufficient knowledge and skills and understanding procedures particular to visiting nursing practice and to communicate with other related occupations about practice and coordination of practice schedules.
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小林, 苗恵 ; 神田, 清子
概要:
application/pdf<br />Departmental Bulletin Paper<br />In the field of physical therapy, it is acknowledged that alternate bathing is effective in improving peripheral blood circulation. To obtain the effects of alternate bathing, 30
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helthy female college students were examined to observe the degree of heat loss, physiological and mental change, and subjective feelings after a hot bath and after althernate bathing of the legs.The degree of skin temperature decreasing due to a hot bath was more moderate than that of alternate bathing. It was determined that the effect of a hot bath was better than that of alternate bathing for common nursing care.
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| 6.
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神田, 清子 ; 大中, 忠勝 ; 栃原, 裕太 ; 田, 紀久子 ; 伊藤, まゆみ ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />The frequency of body movement in the young people during sleep ea
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sured. in order to investigate the effect of thermal environmets on sleep in summer and autumn. Simultaneously, room temperature and humidity were also measured. On the morning after measureing body movements, the time to go to bed and to get up, the degree of sound sleep and bedclothes were assessed by a questionnaire. The following results were obtained. 1. The bedroom temperature in summer during sleep ranged from 20 to 30℃ (mean 27.06℃). On the other hand, it was between 14 and 26℃ (mean 18.82℃) in autumn, which was significantly lower than that in summer. 2. Body movement in summer during sleep was significantly greater than those in autumn. 3. A significant relation between bedroom temperature and temperature in bed in both summer and autumn seasons (summer: r = 0.846 p<0.001, autumn: r = 0.107 p<0.05). 4. A significant relation between body movement and bedroom temperature was found both seasons. Under the higher bedroom temperature, there was a tendency toward a higher rate of body movement. These results indicate that suitable adjustment of room temperature by using an air-conditioner is important for achieving a stable sleep pattern.
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| 7.
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太田, 紀久子 ; 神田, 清子 ; 大野, 絢子 ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />A research and analysis were made on worhtwhileness of aged people at home, and the follwing results were obtained. 1. The average Philadelphia Geriatric Center Morale Scale (PGC)
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point of total aged people was 16.5, and no difference between men and women was obserbed. 2. The PGC points were not significantly variable by age, sex, moving of residence, form of family. However, the PGC points were significantly higher in those who were satisfied with their family relationship, who had hobbies, and who considered themselves as well-being. 3. No significant difference was observed on the PGC points regardless of having their spouse or not, though the PGC points tended to be lower in those who separated from their spouses in less than five years.
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伊藤, まゆみ ; 神田, 清子 ; 新井, 治子
概要:
application/pdf<br />Departmental Bulletin Paper<br />We investigated the serum transaminase levels in patients with chronic hepatitis, degree of their cncern about transaminase levels, and their responses to changes in these parameters as
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well as the effects of such responses to their anxiety state. The following results were obtained. 1. There are no established measures for evaluating the effectiveness of self-care programs for chronic hepatitis patients, and the physician's comments and the transaminase levels have been recommended as indexes for this condition by many researchers. 2. In the anxiety test in patients with chronic hepatitis, A-State and A-Trait scores were 41.6 and 41.7, respectively, showing no significant difference from the values in the gereral population or patients with other chronic disease for either state anxiety or trait anxiety. 3. In patients with elevanted GPT, the A-State score tended to be higher than that in patients with normal GPT, amd those showing strong concern about their transaminase levels had a significantly higher A-State score than those who do not worry about these biochemical indexes. 4. If the patients have strong concern about the transaminase levels and their anxiety state is worsened in response to the rise or fall in these values, such patients have to be supported so that they can continue their self-care activities in stable mental conditions by comprehensively evaluating their self-care activities using other medical indexes and subjective symptoms as well.
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| 9.
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伊藤, まゆみ ; 太田, 紀久子 ; 大野, 絢子 ; 神田, 清子
概要:
application/pdf<br />Departmental Bulletin Paper<br />Environmental factors such as temperature and relative humidity in
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the bedroom and in the space between the bed and the coverlet were analyzed in relation to ease of falling asleep in summer and autumn. The following results were obtained. 1. Many subjects reported that they fell asleep more easily in autumn than in summer. They felt that they slept more deeply in autumn than in summer. However, the incidence of sleep interruption at night did not differ between summer and autumn. 2. The subjects adjusted their bedclothes and nightclothes appropriatery in both summer and autumn. 3. The temperature and relative humidity within the bedroom were significantly higher in summer (27.06℃ and 70.36%) than in autumn (18.82℃ and 67,46%). 4. The temperature within the bedroom correlated significantly with the temperature in the space between the bed and the coverlet in both summer and autumn. The correlation was particularly high in summer. 5. The bedroom temperature was significantly higher for subjects who did not fall asleep easily in summer than for subjects who fell asleep easily in summer. The relative humidity in the bedroom tended to be higher for subjects who did not fall asleep easily in summer than for subjects who fell asleep easily in summer. 6. These results indicate that not only adjustment of bedclothes but also adijustment of room temperature (using an air-conditioner, etc.) is important for falling asleep easily and achieving a stable sleep pattern.
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太田, 紀久子 ; 神田, 清子 ; 大野, 絢子 ; 伊藤, まゆみ ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />A research was made on depression and the relative factors in the healthy elderly persons living in the area using the Japanese-version SDS tests. As a result, the following were
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suggested. 1. The frequency of the depression appearance was 3.6% and the avarage of the depression score was 30.7. There was no significant difference between men and women. 2. The attributes of the elderly persons which influenced the depression score were family relationship, the self-rating of health conditions, the radius of action and hobbies. They should taken into consideration to offer support and positive service for elderly persons at home. 3. Among the twenty items of the SDS tests, the factors in which psychological conditions influence physical symptoms, showed significant difference depending on the possession of hobbies and the degree of satisfaction in the family relationship. This result suggested that the physical conditions of the elderly persons were greatly related to the psychological depression. Not only for the elderly persons with diseases, it would be important to perform comprehensive care in this point of view for the healthy elderly persons.
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近藤, 好枝 ; 今関, 節子 ; 行田, 智子 ; 神田, 清子
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application/pdf<br />Departmental Bulletin Paper<br />We investigated the circumstances surrounding the onset of obstetrical and neonatal complications according to the ages of 715 primiparae managed by the Division of Perinatal
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Mothers and Children of Gunma University Hospital from January 1987 to December 1991 to clarify obstetrical risk factors for elderly primipara. The proportion of elderly primiparae among the 715 was 45.6%, and the age of 37.6% of the elderly primioarae at marriage was 30 years or more. The following conclusions were drawn: 1. The incidenceof toxemia of pregnancywas high in primiparae who were 30 years or older, particularly those with a body mass index of at least 28. 1. 2. In regard to difficulties with vaginal deliverly, weak laborpains, rigidity of the soft portion of the parturient canal, operative delivery and atonic bleeding were observed at significantly increased frequencies in the primiparae who were 30 years or older. 3. There was no age difference in the birth weights of single deliveries. 4. The frequency of treatment for sterility was high in the elderly primiparae, and the frequency of operative deliverly was significantly higher in the primiparae who ware 35 years or older. These results suggest the importance of psychological support during labor and delivery, for which medical intervention is necessary, as the number of pregnant women desiring spontaneous labor is increasing.
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二渡, 玉江 ; 神郡, 博 ; 新井, 治子 ; 瀬戸, 正子 ; 福田, 春枝 ; 田村, 文子 ; 神田, 清子 ; 寺田, 真広
概要:
application/pdf<br />Departmental Bulletin Paper<br />We have made a survey of differences in pain observation between Japanese nurses and American nurses according to published literature. We also looked at influence of nurses' career
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on their ability of pain observation. As the result of this survey, we have made the following conclusions. 1. There were certain differences between Japanese nurses and American nurses on the identification of pain location, the assessment of pain and the understanding of pain. 2. The responsibility for pain control is laid on doctors and nurses in Japan, while it is laid on patients as well as doctors and nurses in America. 3. As for the relevance of Nurses' experience to their ability of pain observation, the nurses with more than ten years of experience have more appropriate pain observation ability than the nurses with less than ten years of experience.
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神田, 清子 ; 太田, 紀久子 ; 瀬戸, 正子 ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />The purpose of this study is to compare the frequency of depression in one hundred healthy adults (control group) and 66 out-patients with hypertention (hypertention group). The frequency
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of depression was estimated by the Self-rating Depression Scale (SDS tests) which consist of twenty items of depression status. The results were summarized as follows: 1. The depression rate of sexual desire in the hypertention group was significantly higher than that of the control group. 2. The score of SDS in the hypertention group was significantly lower than control group. 3. The depression rate in hypertention group was slightly lower than that in control group. From the results above mentioned, we concluded that it is necessary to observe the decrease in sexual desire symptoms in outpatients with hypertention.
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瀬戸, 正子 ; 神田, 清子 ; 太田, 紀久子 ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />This study was performed to determine factors that influence blood sugar control in diabetic patients in old and upper middle age. The HbA_<1C> level, Breslow's health practice score
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and stress score were calculated in 58 old age patients and 55 upper middle age patients, and mean values of these parameters were compared in the two groups according to sex and lifestyle. The results are summarized as follows: 1. The HbA_<1C>: Measurement of HbA_<1C> revealed that the proportion of patients under well-controlled conditions was significantly larger among males than females, and in the old age group than in the upper middle age group. Upper middle age women had the poorest control. Control was better in patients living with their family than in those living alone in the old age group. In the upper middle age group, males living alone and females living with their family had a better control. 2. The health practice score was higher in females than in males in both groups. 3. The score for stress caused by the patient's family was higher in the upper middle age group than in the old age group. The score was higher in patients with a poorly controlled condition than in those with a well-controlled condition in terms of HbA_<1C> level.
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太田, 紀久子 ; 瀬戸, 正子 ; 神田, 清子 ; 土屋, 純
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application/pdf<br />Departmental Bulletin Paper<br />This study aims to assess by questionaire, the quality of life (QOL) of hospitalized aged cancer patients in order to improve nursing care. The seven items for QOL assessments consist of
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appetite, mood, quality of sleep, cardiac and/or respiratory symptoms, digestive symptoms, and other symptoms, and activities of daily living. 20 cancer patients over 65 years old were selected as subjects of this study and the QOL at the time of admission to the hospital, excerbation and discharge were evaluated respectively. The rsults are as follows: (1) At admission, the percentage of those who answered ""good"" to the question about ""mood"" was very low, however, it took a favorable turn as the hospitalization became longer. (2) Half of the patients were assessed as ""symptomless"" on the question about cardiac and/or respiratory symptoms and these patients further increased at the time of discharge. (3) The change of assessments of the item ""activities of daily living"" was smallest during hospitalization and each scale was variable. (4) Inview of these results, ideas for nursing care were discussed.
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神田, 清子 ; 瀬戸, 正子 ; 太田, 紀久子 ; 土屋, 純
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application/pdf<br />Departmental Bulletin Paper<br />The purpose of this study is to investigate the status of depression in 85 caregivers for the disabled elderly in the community. The frequency of depression was estimated by the
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Self-rating Depression Scale (SDS tests) which consists of twenty items of depression status. The results were summarized as follows: 1. Among caregivers, high score items were sexual desire, emotional fluctuatios, hopelessness, fatigue, emptyness and dissatisfaction. 2. The scores of SDS in the caregivers were slightly higher than Healthy adults. 3. The depression rate in the caregivers were slightly higher than Healthy adults. 4. The depression scores increased with the lenght of the care and difficulties encounterd. The results of the factor analysis suggested the importance of providing support by health professionals to caregivers demonstrating need.
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鹿村, 眞理子 ; 福田, 春枝 ; 瀬戸, 正子 ; 神田, 清子 ; 酒巻, 哲夫
概要:
application/pdf<br />Departmental Bulletin Paper<br />Blood pressure was determined by doctors and nurses in 122 essential hypertensive patients, personality in these patients was assessed using the Yatade Guilford personality
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inventory. When the patients were divided into two groups consisting of a group in which blood pressure readings determined by doctors were obviously higher than those by nurses and a group in which readings by doctors were the same as those by nurses, personality differences were noted. The scores for depression, inferiority feelings, lack of objectivity and lack of cooperativeness were significantly higher in the former group. These results suggest that the hypertensive patients showing marked increase in blood pressure during the doctor's examination have specific personality types. We need to vary care strategies for patients according to the their individual personality types.
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神田, 清子 ; 田村, 文子 ; 正田, 美智子 ; 佐藤, 久美子 ; 中澤, 次夫
概要:
application/pdf<br />Departmental Bulletin Paper<br />The frequency of cases who had specific IgE antibody to Japanese cedar pollen were investigated in 472 healthy students in our college. 35.6% of our students had the specific IgE
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antibody. The symptoms of these cases were conjunctival manifestations, nasal discharge and sneezing. There was close corelation between the specific IgE and intensity of symptoms.
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瀬戸, 正子 ; 神田, 清子
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application/pdf<br />Departmental Bulletin Paper<br />The purpose of this study is to compare the Life-styles 126 Healthy young persons with 154 elderly Healthy persons according to Breslow criteria. The items we assessed were the following:
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sleeping, meals, eating between meals, drinking, smoking, exercise and weight. The results are summarized as follows: 1. Elderly persons scored slightly higher than young persons. 2. Among elderly persons, the mens' score was slightly higher than the women. Among younger persons the result was the reverse. 3. Among young persons, low score items were eating between meals and exercise. Judging from the facts described above, we have to educate young persons about their health especially concering the low score items.
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神田, 清子 ; 瀬戸, 正子 ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />The purpose of this study is to compare the frequency of depression in one hundred healthy adults (control group) and one hundred outpatients with hematological malignancies (tumor
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group). The frequency of depression was estimated by the Self-rating Depression Scale (SDS tests) which consist of twenty items of depression status. The results were summarized as follows: 1. The score of SDS in the tumor group was similar to the control group. 2. The depression rate in women with hematological malignancies was slightly higher than that in control women. 3. The depression rate of sleeping, appetite, decrease in weight, tachycardia and fatigue in the tumor group was significantly higher than that of the control group. From the results above mentioned, we concluded it is necessary to observe the depression symptoms in patients with hematological malignancies, especially in women.
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神田, 清子 ; 正田, 美智子 ; 田村, 文子 ; 佐藤, 久美子 ; 中澤, 次夫
概要:
application/pdf<br />Departmental Bulletin Paper<br />The protective effects of wearing masks on pollens of Japanese cedar were investigated in 27 patients with Japanese cedar pollinosis. In 85% of patients, nasal symptoms slightly or
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moderately decreased after wearing masks. The improvement was manifested in nasal discharge and sneezeing, and but not in nasal obstruction. Conjunctival symptoms also improved in some cases. These results suggest that mask-wearing is of some value in the prevention of Japanese cedar pollinosis.
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瀬戸, 正子 ; 神田, 清子 ; 蝦名, 美智子 ; 土屋, 純
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application/pdf<br />Departmental Bulletin Paper<br />In this study, a research survey of recognition of disease and self-control of general life was performed on outpatients (34 cases) of multiple myeloma in Gunma University Hospital and
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its related hospitals, and the results are as follows: (1) About half of the patients recognized that they have a tendency to get pathological fractures, but only 10% of the patients recognized their real genesis. (2) The Number of patients who recognized the necessity of exercise was small, but that of doing exercise was large. (3) The protection of complications has been carried out positively in a large number of patients according to the advice of doctors, but the reason of its necessity has been recognized in only a few cases. Moreover, side effects of drugs given have been advised by doctors mainly in only 30% of the patients. (4) Almost all patients have been examined regularly, but the necessity of such examinations hasn't been recognized in most cases. (5) The degree of recognition of self-control of general life was compared with every group classified according to the clinical staging by Durie et al. The results showed a significant difference (p<0.05) in three points: symptoms of pathological fractures, wearing of corsets and the necessity of taking enough water, furthermore the higher the stage became, the more the patients showed a tendency to put self-control of their general lives into practice.
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瀬戸, 正子 ; 神田, 清子 ; 神郡, 博
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application/pdf<br />Departmental Bulletin Paper
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鹿村, 真理子 ; 福田, 春枝 ; 徳沢, 万子 ; 田村, 文子 ; 神田, 清子 ; 二渡, 玉江 ; 正田, 美智子
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application/pdf<br />Departmental Bulletin Paper
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瀬戸, 正子 ; 神田, 清子
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application/pdf<br />Departmental Bulletin Paper
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福田, 春枝 ; 神田, 清子 ; 瀬戸, 正子
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application/pdf<br />Departmental Bulletin Paper
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神田, 清子 ; 田村, 文子 ; 二渡, 玉江 ; 瀬戸, 正子 ; 正田, 美智子
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application/pdf<br />Departmental Bulletin Paper
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| 28.
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瀬戸, 正子 ; 神田, 清子 ; 田村, 文子 ; 二渡, 玉江 ; 正田, 美智子
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application/pdf<br />Departmental Bulletin Paper
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| 29.
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瀬戸, 正子 ; 神田, 清子 ; 吉田, 幸代 ; 田村, 利恵子 ; 長岡, 浩子 ; 藤巻, 真由美
概要:
application/pdf<br />Departmental Bulletin Paper
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神田, 清子 ; 瀬戸, 正子
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application/pdf<br />Departmental Bulletin Paper
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神田, 清子 ; 瀬戸, 正子
概要:
application/pdf<br />Departmental Bulletin Paper
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