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Ogaya, Shota ; Hayashi, Kunihiko ; Shinozaki, Hiromitsu
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Munkhbat, Lkhagvamaa ; Ogawa, Shota ; Oidov, Batgerel ; Davaakhuu, Tungaamaa ; Purev, Odonchimeg ; Manduul, enkhjargal ; Choijiljav, Dorjderem ; Dash, Munkhkhuslen ; Hayashi, Kunihiko ; Shinozaki, Hiromitsu
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YAMADA, Toshiyuki
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Departmental Bulletin Paper
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Nakamura, Mika ; Kondo, Hiroko
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Journal Article<br />Background & Aims: Medical safety measures for nurses are an important issue. The present study aim
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ed to clarify the human factors affecting the frequency of incidents by years of experience. Methods: The participants were 1,489 nurses working in acute care hospitals with more than 400 beds. An anonymous, self-administered questionnaire survey was conducted. The survey included the frequency of incidents in the last six months and a “Questionnaire on Work Situations Commonly Associated with Nursing-Related Incidents.” Multiple logistic regression analysis was performed. Explanatory variables were extracted from the questionnaire items through principal component analysis. The objective variable was incident frequency. The analysis was conducted by years of experience. Results: Valid responses were obtained from 716 nurses. Extracted variables were: unsafe execution of work, psychological stress, physical stress, busy work environment. Significant associations with incident frequency was found for busy work environment, psychological stress, and unsafe execution of work for nurses with up to 1 year, 4-10 years, and 11 or more years of experience, respectively. Conclusion: The human factors affecting incident frequency were shown to differ depending on the nurses’ years of experience. Thus, preventive measures based on nursing experience are necessary: improving support systems to reduce busyness, improve psychological support, and address role familiarity for nurses with up to 1 year, 4-10 years, and 11 or more years of experience, respectively.
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Tamura, Kosei ; Sato, Makiko ; Tamura, Jun-Ichi
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Journal Article<br />We report the case of a 60-year-old man with pneumaturia due to gas production by Klebsiella pneumoniae in the bladder. Diabetes mellitus is a major risk factor, and K. pneumoniae produces carbon dioxide by fermenting
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glucose under anaerobic conditions. Antibiotic therapy successfully improved cystitis and pneumaturia. However, in the presence of urinary tract obstruction and/or emphysematous upper urinary tract infections, other interventions may be needed.
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Kamiyoshihara, Mitsuhiro ; Yazawa, Tomohiro ; Matsuura, Natsumi ; Igai, Hitoshi ; Ohsawa, Fumi ; Furusawa, Shinya
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Journal Article<br />A left upper lobectomy was performed in an 80-year-old man with lung cancer. There was no air leakage after surgery, but on the evening of the next day severe subcutaneous emphysema and a massive air leakage developed
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after he had suffered bouts of coughing. In response to his worsening symptoms, he underwent surgery, which identified a subpleural pocket-like tear on the remaining lower lobe. There had been no evidence of emphysematous changes in his preoperative findings. This case demonstrates the need to consider reinforcing the pulmonary surface facing a large dead space to avoid coughing-induced pulmonary barotrauma.
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Sato, Tomonobu ; Aso, Chizu ; Tobe, Masaru ; Mieda, Rie ; Suto, Takashi ; Saito, Shigeru
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Journal Article<br />We had previously experienced a case involving prolonged cardiopulmonary resuscitation (CPR) on Mt. Fuji (3,776 m), demanding strenuous work by the rescuers. The objective of this study was to examine the
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effectiveness of a wearable electrocardiogram (ECG) with 10 electrodes for the assessment of cardiac condition during exercise at hypobaric hypoxic environment. The traces of ECG during CPR action were obtained in a hypobaric chamber with barometric pressure adjusted to be equivalent to 3,700 m above sea level (630-640 hPa). Two volunteers performed CPR with or without breaths using a CPR mannequin. In a 3,700-m-equivalent environment, the percentage of recordings with clear signal qualities were 26% at V1 position, and 31% at V4 position, respectively. Although wearable ECG monitoring is still under development, removing electromyogram artefact may improve the signal quality and make the wearable 12-lead ECG monitoring useful in preventing cardiac problems at high altitudes and in wilderness environments.
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Sakai, Makoto ; Kubota, Yoshiki ; Kubo, Nobuteru ; Tashiro, Mutsumi
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Journal Article<br />Background & Aims: With the development of radiology, the demand for medical physicists is increasi
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ng, and the training of new medical physicists is becoming a necessity. Although a few questionnaire surveys regarding medical physicists and medical physicist training courses have been conducted, no survey reports have yet been conducted on examinees. This study is the first survey of general examinees. Methods: Gunma University has a webpage for test preparation, and we conducted a survey on examinees using this page, through a questionnaire and access analyses. Results: Approximately 80% of the users qualified as technologists. Considering the percentage of users by region, the number of medical physicists and accredited facilities were strongly correlated. The proportion of females was extremely low. Exam papers on “science and technology” and “radiation physics” were accessed more than those on “medical and biology” field. Thus, physics may be a shortcoming of many examinees; science and engineering majors were less likely to take exams and have lower pass rates. Conclusion: Recruitment and provision of learning environments for science and engineering graduates are required. To increase the number of students, while improving the quality of medical physicists, it is necessary to investigate current conditions of students in greater detail.
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Kanayama, Yuuju ; Kasamatsu, Tetsuhiro ; Awata, Maaya ; Ishihara, Rei ; Murakami, Yuki ; Masuda, Yuta ; Gotoh, Nanami ; Handa, Hiroshi ; Saitoh, Takayuki ; Murakami, Hirokazu
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Journal Article<br />Background and aims: Recently, genome-wide analyses have revealed mutations in spliceosome machiner
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y associated with myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML). Single-nucleotide polymorphisms (SNPs) of serine/arginine-rich splicing factor 2 (SRSF2) and splicing factor 3a subunit 1 (SF3A1) were investigated in a Japanese population of patients and healthy control group. We aimed to find associations with prognosis and pathology. Methods: We obtained genomic DNA from 99 patients with MDS, 92 patients with AML, and 172 healthy controls and detected SRSF2 (rs237057) and SF3A1 (rs2074733) genotypes using polymerase chain reaction–restriction fragment length polymorphism. Results: There was no statistical significance to associate these polymorphisms with susceptibility to MDS/AML. However, the SF3A1 rs2074733 TC was significantly associated with higher hemoglobin level, compared to the TT genotype (mean±standard deviation, 10.6±1.63 vs 9.09±2.19 g/dL; P＝0.022). In addition, patients with rs2074733 TC showed a significantly lower frequency of chromosomal abnormality [2 (18.2%) vs. 46 (53.5%), P＝0.027]. We observed no statistical significance between these polymorphisms and clinical variables for AML, or the prognosis of MDS and AML. Conclusions: Our study indicates that the SF3A1 rs2074733 TC genotype is associated with some clinical features of MDS.
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Kumasaka, Yuka ; Aoki, Jun ; Amanuma, Makoto ; Itoh, Masahiro ; Oota, Katsuto ; Kumasaka, Soma ; Tsushima, Yoshito
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Journal Article<br />Background & Aims: To determine the effect of prior coitus on CT findings of ruptured corpus luteum
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. Methods: The subjects were female patients complaining of acute lower abdominal pain, who underwent CT examination. Patients meeting the following criteria were diagnosed with ruptured corpus luteum: 1) an adnexal cystic mass with thick wall, 2) high density ascites (≥20 Hounsfield Units [H.U.]), 3) no CT evidence of acute abdominal diseases, 4) no pregnancy, 5) no prior history of chronic lower abdominal pain, and 6) relief of pain within two weeks. These patients were classified into two groups: with and without coitus within three days before the onset. Then, CT findings were evaluated. Results: A total of 18 patients fulfilled the criteria. Patients with prior coitus (n＝9) showed a larger maximum diameter of the adnexal cyst (38.8 vs 23.5 mm, p＝0.005), higher attenuation of ascites (41 vs 25 H.U., p＝0.017), and a larger amount of ascites (pelvis-limited or beyond pelvis) (p＝0.015), compared to the others (n＝9). Conclusions: Prior coitus affected CT findings such as a larger amount of ascites with higher attenuation.
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Choijiljav, Dorjderem ; Nasanjargal, Tsetsgee ; Ogawa, Shota ; Oidov, Batgerel ; Yanjmaa, Enkhjargal ; Nyam, Naranbaatar ; Munkhbat, Lkhagvamaa ; Dash, Munkhkhuslen ; Hayashi, Kunihiko ; Irie, Yuki ; Shinozaki, Hiromitsu
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Journal Article<br />Background: There have been no studies on the prevalence of disordered eating attitudes (DEAs) in M
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ongolia. This study aims to determine the prevalence of DEAs and the associated risk factors among university students in Ulaanbaatar, Mongolia. Methods: In 2016, a cross-sectional survey was conducted among 483 female students studying at School of Nursing, Mongolian National University of Medical Sciences in Ulaanbaatar. The Eating Attitudes Test (EAT-26) was used to determine the prevalence of DEAs among the students. Body height and weight measurements were collected by team members after obtaining participants’ consent. SPSS version 25 was used for statistical analyses. Chi-square, Fisher’s exact, and Mann-Whitney U tests were used to analyze ordinal and numeric values. Results: In this study 5.4% of the participants presented high score on EAT-26. Through multivariate logistic regression analysis, the number of breakfasts per week, perception of healthy meals, and previous and present dieting were found to be associated with a high score on the EAT-26. Conclusions: The prevalence of DEA is relatively low among Mongolian female students. The number of breakfasts per week, past and current experience of dieting, and perception of healthy meals were influential factors in the development of DEAs.
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Kamiyoshihara, Mitsuhiro ; Yazawa, Tomohiro ; Igai, Hitoshi ; Matsuura, Natsumi ; Ohsawa, Fumi
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Journal Article<br />We present a rare case of primary tracheal adenoid cystic carcinoma (ACC) in which pulmonary metastases developed 14 years after the initial surgery. A 69-year-old woman underwent a radical tracheal resection with
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tracheoplasty for tracheal ACC. At a checkup 14 years later, computed tomography revealed three solid nodules in the lungs. We performed video-assisted thoracoscopic lung resection of the bilateral masses. Histologically, we observed ACC that was compatible with the previously resected primary lesion. The patient has had no recurrence 24 months after metastasectomy (198 months after the initial surgery).
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Hoshino, Masamichi ; Shinozaki, Hiromitsu ; Ogawa, Shota ; Hayashi, Kunihiko ; Itoh, Masahiro ; Iwase, Akira
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Journal Article<br />Background & Aim: Wearing seat belt is an effective tool to protect both pregnant women and their unborn babies. Pregnant women are more likely to use seat belt if they have acquired knowledge on how to wear seat belt
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correctly during pregnancy. This study aims to examine the association between exposure to information on seat belts and usual seat belt use in daily life during pregnancy. Methods: We employed a descriptive analysis of cross-sectional survey data collected through self-administered questionnaires at seven obstetric facilities in Maebashi City, a provincial city in Japan. Between October and December 2013, 1,278 pregnant women completed questionnaires, containing items such as the frequency of rear seat belt use and the sources from which they had received information on the issue. Results: We found that 444 participants (34.7%) received information on seat belt use during pregnancy mainly from magazines or administrative bodies, while 834 (65.3%) did not. We also found that pregnant women who received more information from more sources were more likely to wear seat belts while sitting in the rear seat. Conclusions: These findings suggest that increased information on the correct method of wearing seat belts during pregnancy may increase the number of pregnant women who wear seat belts. Our study has implications for protecting the safety of both pregnant women and their children.
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Kamiyoshihara, Mitsuhiro ; Yazawa, Tomohiro ; Matsuura, Natsumi ; Igai, Hitoshi ; Ohsawa, Fumi ; Yoshikawa, Ryohei
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Journal Article<br />A 46-year-old woman presented with an abnormal thickening and calcification of the pleura; positron emission tomography showed lesions with significantly high uptake in the pleural masses. The patient had undergone
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talc pleurodesis for pleural effusion due to advanced stage IV ovarian cancer 27 months prior. Because there were no other malignant findings, pleurectomy including the lesion area was performed as salvage surgery. Postoperative histological findings showed talc pleurodesis-induced granulomatosis (pleural talcoma). This case demonstrates the need to consider pleural talcoma when positron emission tomography shows a high uptake lesion after talc pleurodesis. It is sometimes difficult to distinguish pleural talcoma from malignant diseases with dissemination.
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Yudistiro, Ryan ; Heryanto, Yusri Dwi ; Kodaira, Sayaka ; Higuchi, Tetsuya ; Arisaka, Yukiko ; Tokue, Azusa ; Taketomi-Takahashi, Ayako ; Tsukamoto, Norifumi ; Yokohama, Akihiko ; Handa, Hiroshi ; Koiso, Hiromi ; Ishizaki, Takuma ; Tsushima, Yoshito
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Nurlaelah, Elah ; ITOH, Takashi ; ., Suhendra
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Departmental Bulletin Paper<br />Aside from being one of the systematically arranged disciplines, mathematics is also a
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social construction that views humans as active subjects in building knowledge through interaction with the surrounding environment. Therefore, in addition to being a medium to enhance students’ understanding of mathematical concepts, mathematics education should also apply the principles of social activity while linking mathematical concepts to social issues. This research is intended to reform mathematics learning so that it does not merely focus on students’ understanding of mathematical concepts, but also improve their quality through the application of ‘social justice in mathematics education’, while at the same time internalising issues related to social justice through the application of ‘social justice through mathematics education’ concepts. This study used action research as the research methodology considering its actionbased themes and characteristics, where the teacher performed and simultaneously reflected learning activities. The findings obtained from this study are: (i) several challenges related to the application of ‘social justice in and through mathematics education’ in mathematics learning area, among others, include the difficulty of changing the teacher’s mindset on how to teach mathematics to students equitably (socially) and how to foster teacher sensitivity in designing mathematics learning that integrated justice issues into mathematics learning; (ii) the implementation of the principle of ‘social justice in and through mathematics education’ in order to improve the quality of mathematics learning is felt to be ineffective because of the teacher’s ability to design and implement mathematics learning involving ‘social justice in mathematics learning’ and ‘social justice through mathematics learning’ remains adequate; and (iii) the application of ‘social justice in and through mathematics education’ has a significant effect on student involvement in mathematics learning. It is characterized by more active students in learning and more enthusiastic students in learning activities, because the material that is discussed very closely with students’ daily experiences. Furthermore, the findings of this study are expected to contribute to the reform of mathematics education, especially those related to productive mathematics learning, the planting of effective mathematical concepts in students, equitable mathematics learning, and simultaneously internalizing social justice issues through the application of concepts, such as building students’ character. By using the elements in the planning and reflection of lessons, teachers are able to develop a comprehensive guide for improving the quality of their lessons and at the same time internalize students’ character building by using social justice issues.
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YAMADA, Toshiyuki
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Departmental Bulletin Paper<br />We explore a new approach to the long-standing issue in linguistics: of whether knowled
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ge of language is innate or not. To this empirical issue, a variety of approaches have been proposed, but the purpose of the present study is not to deny those approaches bur rather to examine a new one for further verification of the innateness hypothesis. Our new approach is based on the methodology adopted in first language acquisition.\nConcretely, if a second language learner produces a string of words which is neither accepted grammatically in the target language nor attributed to their first language transfer but can be analyzed as a corresponding grammatically accepted structure in another language, then it follows that he/she can access to knowledge of the language to which he/she is never exposed and thus that knowledge of all particular languages is innately available. As a preliminary study, we analyze the relevant errors of Japanese-speaking learners of English and consider future issues for our new approach. 言語知識が生得的であるか否かは言語学における長年の課題であるが、本研究はその課題に対して新たなアプローチを探る。言語知識の生得性という経験的課題に対して、これまでさまざまなアプローチが提案されてきたが、本研究の目的はそれらのアプローチを否定することではなく、新たなアプローチを検討し、言語生得説に対するさらなる検証に貢献することである。新たなアプローチは第一言語獲得で採用されている方法論に基づいている。具体的には、第二言語学習者が、目標言語で文法的に容認されず、学習者の母語による干渉にも帰因しないが、他の言語では文法的に容認される構造であると分析できるような文を産出したとしたら、当該学習者は一度も経験したことのない言語に関する知識にアクセスしたことになり、すべての個別言語に関する知識は生得的に利用可能ということになる。\n予備的な研究として、日本人英語学習者が産出するこのような誤りを分析し、新たなアプローチに対する今後の課題を検討する。
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Ogawa, Masaru ; Yokoo, Satoshi ; Yamaguchi, Takahiro ; Suzuki, Keisuke ; Makiguchi, Takaya
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Journal Article<br />Background & Aims: The purpose of this study is to identify the clinical and immunohistological fac
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tors that inhibit bone healing after extirpation of extensive radicular cysts and endodontic microsurgery-microscopic apicoectomy, and utilize these factors as predictors of treatment outcome. Methods: Endodontic microsurgery-microscopic apicoectomy was performed in 26 patients. Outcomes were evaluated based on clinical signs and radiographs. Expression levels of cytokines (IL-1β, TNF-α, RANKL) in the cyst epithelium and subepithelial connective tissue were also investigated. Results: The success rate was 88.5%. The radiological reduction rate was ≥75% in 16 patients (good bone healing) and <75% in 10 (poor bone healing). In clinical analysis, penetrating bone defects and the site (maxilla) showed significant differences between the two groups (P<0.05). In immunohistochemical analysis, expression of IL-1β and TNF-α showed significant differences between the two groups (P<0.05). Conclusions: Penetrating bone defects, inflammation, and a maxillary site are prognostic factors for a poor outcome after treatment of extensive radicular cysts. Endodontic microsurgery-microscopic apicoectomy is a new technique for treatment of an extensive radicular cyst, and this study is the first to identify factors that influence the outcome after extirpation of the cyst.
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Manduul, Enkhjargal ; Nakajima, Takahito ; Shibuya, Kei ; Shrestha, Suman ; Hirasawa, Hiromi ; Tsushima, Yoshito
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Journal Article<br />This study evaluated liver function using gadoxetic acid-enhanced magnetic resonance imaging (EOB-M
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RI) to improve assessment of patients with liver tumors compared to Child-Pugh classification (CPC). Materials and methods: The liver function of 59 patients was assessed to determine the indication for heavy ion therapy. Clinical and laboratory assessments, including 99mTc-GSA liver scintigraphy and indocyanine green retention index (ICGR15), were performed for liver function assessment. EOB-MRI was performed on T1W1 images both before and after Gd-EOB-DTPA administration and hepatobiliary phase images were acquired 20-min post-injection. Liver parenchymal enhancement ratio (LER) was measured based on liver-to-spleen (L/Sp) ratios calculating the average liver intensity divided by spleen intensity. Results: The mean LER values on MRI were 138.2±12.8 (133.9-142.5), 115.7±11.6 (110.0-121.5), and 93.2±15.8 (73.6-112.9) in CPC-A, -B and -C, respectively. From the correlation between the LER on MRI and ICGR15 and parameters of 99mTc-GSA liver scintigraphy, LER on MRI was highly significantly correlated with ICGR15 (r=-0.67; p<0.0001). Discussion: This study demonstrated that LER values on EOB-MRI could classify liver function and had high correlation with CPC and ICGR15.
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Nakashima-Hashimoto, Tomomi
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Journal Article<br />Background & Aims: To obtain a better guide for the nursing care of patients with Parkinson’s disea
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se undergoing longterm care by describing the improvement of unconvincing results after deep brain stimulation (DBS). Methods: Using a modified grounded theory approach, semi-structured interviews were performed with 11 patients (aged 50-80 years) who had undergone 5-14 years of DBS before this study. Results: The improvement process of unconvincing outcomes in patients with Parkinson’s disease following DBS starts with the patients' attempts to share the unconvincing outcomes, followed by repeating the cycle of ambiguity in unconvincing outcomes and becoming saddled with them under maintainable support, and ends in achieving realization of the improvement plan. Conclusions: Patients could hide their unconvincing outcomes from the other patients while struggling for a long time, and they stated that they tried to cope with unconvincing outcomes by reconsidering the meaning of DBS. Its course differs for each person. These findings may be helpful in improving long-term care, enhancing patient satisfaction and quality of life, and in educating patients considering post-DBS care.
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Kanzaki, Takao ; Tran, Vu Quynh Vy ; Higuchi, Tetsuya ; Nakajima, Takahito ; Achmad, Arifudin ; Takahashi, Yasuyuki ; Taketomi-Takahashi, Ayako ; Suto, Takayuki ; Tsushima, Yoshito
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Journal Article<br />Objective: [123I] N-ω-fluoropropyl-2β-carbomethoxy-3β-(4-[123I]iodophenyl) nortropane (123I-FP-CIT)
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or dopamine transporter (DAT) SPECT scan quantitatively depicts striatum dopamine transporter density. The specific binding ratio (SBR) is important for Parkinson's disease (PD) diagnosis. Correction techniques may improve 123I-FP-CIT image quality, but they are currently not standardized. We aim to determine attenuation correction (AC) and scatter correction (SC) influence on 123I-FP-CIT quantitative analysis. Methods: We preformed SPECT imaging on a striatal phantom representing striatum-to-background ratios ranging from 10:1 to 1:1. We used the Chang method for AC and triple energy window for SC. Commercially available software semi-automatically calculated SBR. We performed correlation analysis between SBR and the actual concentration ratio in four groups: no correction (NC), SC, AC, and combined correction (CC), paying particular attention to SBR values below the clinical cut-off (4.5). We applied the same imaging conditions, reconstruction, and corrections on 49 human 123I-FP-CIT SPECT studies. Asymmetric index values (AI) were also analyzed. Receiver operating characteristic (ROC) analysis provided AI diagnostic cut-off values in PD patients. PD patient population whose AI values were above these cut-off value were subject to a correlation study to confirm the association between their clinical symptoms and 123I-FP-CIT SPECT. Results: Phantom study. AC or CC increased SBR 123I-FP-CIT SPECT, making them very close to the standard ratios (AC: y=1.19x - 0.7; R2=0.98; CC: y=1.4x - 1.2; R2=0.98), while NC and SC underestimated SBR at lower values (1 to 4). Clinical study. There was no difference in SBR between NC and SC, while AC and CC produced significantly higher SBR than NC (p<0.0001). Only SC affected AI values (p<0.05). The association between clinical symptoms and 123I-FP-CIT imaging results were maintained only when either NC (n=12, p<0.05) or CC (n=14, p<0.05) was applied. Conclusions: AC increased SBR more than other corrections, while SC increased AI value more than other corrections. The association between clinical symptom and SPECT findings were maintained when either NC or CC was applied. These correction methods should be carefully selected for 123I-FP-CIT SPECT brain imaging.
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Arai, Aki ; Hirota, Yu ; Mitsui, Shinichi
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Journal Article<br />Background: Social bonds between spouses (pair bond) positively affect health conditions. Recently, we reported that the administration of serotonin-selective reuptake inhibitors to monogamous prairie
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voles ameliorated the impairment of pair bonding caused by traumatic stresses, suggesting the involvement of the serotonergic system in the formation of pair bonds in this model animal. Before investigating this possibility, we investigated the cohabitation condition which leads to a pair bond using our colony of prairie voles. Methods: Male prairie voles were cohabited with females for 96h in a control experiment. Otherwise, subject males were cohabited with an estradiol-primed females for 6 h or 24h. Subsequently, partner preferences by subject male prairie voles were assessed for 3 h. Results: All subjects in the 96 h cohabitation group preferred to huddle with their partner than stranger females. Twenty-four hour cohabitation induced partner preference; however a 6-h cohabitation did not, despite accompanying mating bouts. Conclusions: The formation of pair bonds by prairie voles requires 24 h of cohabitation. Mating bouts in a 6-h cohabitation appear to be insufficient for the formation of a pair bond. Such factors need to be considered when performing experiments using pharmacological methods that enhance or inhibit pair bonds.
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Ohtani, Yusuke ; Ono Yoshihiro
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Journal Article<br />We report the case of a 24-year-old male patient with skin bridges at two points between his penile glans and foreskin. He had undergone neonatal circumcision in the United States of America. We successfully performed
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surgical dissection of the two skin bridges, restored the cosmetic features and resolved discomfort. In Japan, neonatal circumcision is not performed routinely; therefore, complications as in this case are rarely seen.
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Kanbe, Tomoyuki ; Yokoo, Satoshi ; Ogawa, Masaru ; Takayama, Yu ; Gomi, Akinori ; Makiguchi, Takaya
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AOYAGI, Chiharu ; KANAIZUMI, Shiomi ; KUROIWA, Hatsumi ; TOKITA, Eiko ; TAMURA, Kyoko ; MARUYAMA, Yukie ; SHIKAMA, Kumiko ; SAKOU, Keiko ; TAKAHASHI, Tamami ; ARAI, Yoshihiro
概要:
Departmental Bulletin Paper<br />Objective: To clarify the current mental and physical state of students 5 years after e
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xperiencing the Great East Japan earthquake, tsunami, and nuclear accident, and to shed light on the practical initiatives and issues faced by yogo teachers in supporting students’ health.\nMethod: In May 2016, we conducted a mail-based questionnaire of yogo teachers at 15 prefectural high schools in Soma District and Futaba District (collectively, “Soso”) in Fukushima Prefecture, one of the areas most heavily affected by the Fukushima Daiichi Nuclear Power Plant accident. The questionnaire focused on (1) health and school life of students; and (2) current initiatives and issues faced by yogo teachers in supporting student health.\nResults: We received responses from 8 of the 15 high school yogo teachers surveyed (response rate: 53.3％).Six yogo teachers (75％) responded that the “students are calm.” However, 6 yogo teachers (75％) recognized a tendency among students towards weight gain and obesity, as well as reduced physical stamina and sporting ability, while 4 yogo teachers (50％) indicated that some students were anxious about their future and career path, and were receiving personal support from the school counselor. The yogo teachers provided support to students while attempting to ascertain their mental and physical well-being through greater health monitoring and questionnaires, and while coordinating with the school physician and counselor.\nConclusion: Five years after the earthquake, high school students in the Soso district are now leading a more relaxed school life, but still feel anxious about their future health and career path due to lingering concerns about radiation, highlighting the need for long-term support by yogo teachers.
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YAMADA, Toshiyuki
概要:
Departmental Bulletin Paper<br />This preliminary study investigates what grammatical errors are most frequently observed in Japanese EFL (English as a Foreign Language) learners even after the six years of English learning. By a
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series of free writing tasks, 2691 English sentences were collected from 28 Japanese EFL learners. We identified 882 grammatical errors in the dataset with respect to five major types: determiner, preposition, subject-verb agreement for be-verbs, subject-verb agreement for general verbs, and number agreement within a noun phrase. The ratios of the number of grammatical errors to that of obligatory contexts in which those particular grammatical items must occur were 61.1%, 10.9%, 2.6%, 5.7%, and 18.2%, respectively. There are three major findings: (i) Japanese EFL learners make errors in the determiner most frequently, (ii) they make errors in subject-verb agreement more frequently for general verbs compared to be-verbs, and (iii) they make errors in the determiner more often compared to agreement. Their theoretical implications are discussed.
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| 27.
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Yudistiro, Ryan ; Heryanto, Yusri Dwi ; Kodaira, Sayaka ; Higuchi, Tetsuya ; Arisaka, Yukiko ; Tokue, Azusa ; Taketomi-Takahashi, Ayako ; Tsukamoto, Norifumi ; Yokohama, Akihiko ; Handa, Hiroshi ; Koiso, Hiromi ; Ishizaki, Takuma ; Tsushima, Yoshiko
概要:
Journal Article<br />Background and Aims: Radioimmunotherapy (RIT) appears as one of the most effective treatment option
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s for patientswith relapsed or resistant non-Hodgkin’s lymphoma (NHL). Our aim was to evaluate the role of pre-RIT 18F-fluorodeoxyglucose-positron emission tomography╱computed tomography (FDG-PET╱CT) as an early predictor of 90Y-Ibritumomabtiuxetan treatment response. Methods: We included consecutive 20 patients with relapsed NHL (10 males; meanage, 58.5 ± 8.9 years old) who were treated with 90Y-Ibritumomab tiuxetan. FDG-PET╱CT was performed before andafter treatment. Semiquantitative parameters of all measurable FDG-avid lesions were measured and averaged. Ameasurable FDG-avid lesion was defined as a lesion that showed FDG uptake higher than liver with a diameter morethan 1 cm. Treatment response was determined by visual assessment based on a five-point score criteria from FDGPET╱CT after treatment. Results: Fourteen patients (70%) were classified as responders and the other six patients(30%) as non-responders. All semiquantitative parameters except for MTV demonstrated significantly lower values inthe responders compared with the non-responders (p＜0.05). Conclusions: Semiquantitative evaluation by SUVmax,SUVpeak, and TLG before treatment were useful as early predictors of 90Y-Ibritumomab tiuxetan treatment response.
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| 28.
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Arakawa, Naoya ; Takizawa, Takumi ; Nishida, Yutaka ; Yagi, Hisao ; Arakawa, Hirokazu
概要:
Journal Article<br />A 14-year-old-boy presented with pain and a lump on his left lower leg.Magnetic resonance imaging (
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MRI)revealed a medullary lesions on T1-weighted images and medullary enhancement after contrast injection. Bone marrow biopsy with curettage revealed an active marrow without evidence of malignancy or infection. The patient had acne on his face and legs. Accordingly, he was diagnosed with chronic recurrent multiple osteomyelitis (CRMO)syndrome. A few months later, the patient developed shoulder joint pain, remittent fever, and an erythematous rash accompanied by a high fever. Blood tests revealed elevated levels of CRP (10.2 mg╱dL) and ferritin (557 ng╱mL), and hypoalbuminemia (2.8 g╱dL).A second bone marrow biopsy revealed hemophagocytosis, but no malignancies. Subsequently,a diagnosis of systemic juvenile idiopathic arthritis (s-JIA) was established.
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| 29.
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Miao, Shuchuan ; Koganezawa, Noriko ; Hanamura, Kenji ; Puspitasari, Anggraeini ; Shirao, Tomoaki
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Journal Article
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| 30.
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Otsuka, Kenichi ; Tazawa, Masayuki ; Ibe, Yoko ; Inoue, Tomotaka ; Kurosaki, Minori ; Shirakura, Kenji ; Wada, Naoki
概要:
Journal Article<br />Background: Vertebral compression fracture (VCF) is a major injury that occurs in elderly individua
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ls. The aim ofthis study is to predict the functional outcomes of elderly female patients with acute VCF based on their nutritional status. Methods: A total of 69 female patients with acute VCF were included in the present study. The age, fracturelocation, body mass index, grasping power, the amount of the patientʼs daily nutritional intake, Mini-Mental StateExamination (MMSE) score and nutritional status (determined from laboratory findings) were evaluated at the time ofadmission. After in-hospital rehabilitation, the patients were divided into two groups based on their motor FunctionalIndependence Measure (mFIM) scores at the time of discharge. A multivariable logistic regression analysis was performedto identify factors that predicted the outcome. Results: The patients were divided into the high mFIM (score ≥79, n＝36) and the low mFIM (score＜79, n＝33) groups. The multivariate logistic regression analysis showed that theamount of the patient’s nutritional intake and the MMSE score were associated with the outcome. Conclusions: hecognitive status and the amount of the patient’s nutritional intake were associated with the prognosis of elderly womenwith acute VCF.
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| 31.
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Sunaga, Michiko ; Futawatari, Tamae
概要:
Journal Article<br />This study aimed to develop a breast cancer survivor resilience scale (BCRS) and verify its reliabi
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lity and validity. We constructed subscales based on the results of a conceptual analysis of resilience and analysis of factors that promoteresilience. We verified the internal validity of the subscales by enlisting the opinion of nursing experts and conductinga preliminary survey. This process yielded a draft scale consisting of 64 items. We then conducted the main study on230 respondents and a re-test on 37 respondents. The results yielded a scale with two factor classes -“ individual protective”factors and “social protective” factors - and 16 items. Cronbach’s alpha was 0.93 and the re-test correlationcoefficient was 0.89, indicating that the scale has internal consistency and stability. Confirmatory factor analysis indicatedstatistically significant results for construct validity, criterion-related validity, and discriminant validity, thus confirmingthat these types of validity were sufficiently present in the scale. The BCRS has sound reliability and validity,and that with clinical application, it can become an effective scale for measuring resilience in breast cancer survivors.
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| 32.
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Hamasaki, Mayumi ; Tokiwa, Yoko
概要:
Journal Article<br />Objective: The objective of this study was to develop a “Self-Management Scale of Premenstrual Synd
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rome (PMS)during Childrearing Periods” for mothers currently raising children and to examine the validity and reliability of thescale. Methods: Participants included mothers aged 20 to 44 with children six or under. We distributed anonymous,self-administered questionnaires to 1,640 mothers and received 878 responses; 797 were selected for analysis. Thequestionnaire included 48 items measuring symptoms that accompany PMS during childrearing periods. Results: Five factors were extracted from the 38-items following exploratory factor analyses using principle and promax rotation:(1) feeling of emotional instability before menstruation, (2) positive emotional changes after menstruation, (3) perceptionof husband’s support before and after menstruation, (4) reduced energy before menstruation, and (5) unpleasantphysical symptoms before menstruation. The scale positively correlated with the Parenting Stress Short Form and theEdinburgh Postnatal Depression Scale and negatively correlated with the social support scale, confirming criterionvalidity. The Cronbach’s α (0.79 to 0.94) and split-half reliability ( ρ＝ 0.74) suggest that the scale is reliable. Conclusions: The scale developed in this study is valid and reliable, suggesting usefulness for PMS self-management formothers currently raising children.
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| 33.
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Khairinisa, Miski Aghnia ; BiomedSc, M. ; Takatsuru, Yusuke ; Amano, Izuki ; Khongorzul, Erdene ; Nakajima, Takahito ; Kameo, Satomi ; Koyama, Hiroshi ; Tsushima, Yoshito ; Koibuchi, Noriyuki
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Journal Article
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| 34.
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CHAIMUK, Phaphorn ; TANAKA, Mari
概要:
Departmental Bulletin Paper
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| 35.
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KANAIZUMI, Shiomi ; AOYAGI, Chiharu ; MATSUZAKI, Nanako ; KUROIWA, Hatsumi ; TOKITA, Eiko ; SHIMOYAMA, Kyoko ; TAMURA, Kyoko ; MARUYAMA, Yukie ; SAKOU, Keiko ; TAKAHASHI, Tamami ; ARAI, Yoshihiro
概要:
Departmental Bulletin Paper<br />Purpose: To clarify the realities and challenges involved in health support provided by
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yogo teachers to adolescent\ngirls who have a thin body type.\nMethods: A semi-structured interview survey was conducted with yogo teachers at a Japanese high school\nwith experience of providing health support to thin adolescent female students and the results of the survey\nwere subjected to qualitative analysis.\nResults: With regard to health support provided by yogo teachers, the results of analysis found that the actual\nsituation consisted of the five categories of 【sharing information throughout the school organization to\ninvestigate methods of support】,【 realizing studentsʼ situations through the provision of individual support】,\n【referring students and parents to specialist agencies】,【investigating collaborations with parents with students\nʼ consent】, and 【carrying out prevention and awareness-raising activities about thin physiques】. \nHowever, the analysis also found that the practical challenges for providing such health support consisted of\nthe six categories of 【working with parents to liaise with medical institutions】,【continuous support in collaboration\nwith specialist agencies】,【 educational health support that enables all students to manage their\nown health】,【 yogo teachersʼ professional knowledge and assessment of eating disorders】,【 support methods\nthat students can engage with on their own initiative, according to their situation】, and 【creating a counseling-\nfriendly environment to facilitate early detection】.Discussion: While yogo teachers had an overall grasp of studentsʼ situations through their organizational\nengagements in cooperation with faculty and school physicians, as well as individual support activities, it\nwas clear that they faced difficulties and challenges in relation to working together with parents and specialist\nagencies. In the future, improving collaboration with parents will require that they, too, be encouraged\nto recognize that being excessively thin represents a health problem for adolescent female students. In\naddition, it will also be necessary to work towards building daily collaboration systems, such as by having\nyogo teachers keep track of potential partner medical institutions as a matter of routine. It was further suggested\nthat yogo teachers will need to provide educational and preventive health support oriented toward\nhelping female students acquire the ability to manage their own health.
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| 36.
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YAMADA, Toshiyuki
概要:
Departmental Bulletin Paper<br />Why do second language learners sometimes accept ungrammatical sentences in the target
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language? In the\npresent study, we focus on Japanese-speaking learners of English as a Foreign Language (EFL) and investigate\nwhether such “grammatical illusion” effect would be observed in them and whether the effect could be\ndependent on their proficiency. The results of one acceptability judgment questionnaire experiment and of\none preliminary self-paced reading experiment are reported. The results of the questionnaire experiment\nshowed that the lower-proficiency Japanese EFL learners were more likely to accept ungrammatical sentences\nin English compared to the higher-proficiency learners. The results of the self-paced reading experiment\nindicated that the reading time difference between ungrammatical sentences and their grammatical\ncounterparts was significant for one native English speaker but not for two Japanese EFL learners. It is\nsuggested that the “grammatical illusion” effect (i.e., erroneous acceptance of ungrammatical sentences) in\nsecond language learners is more likely to be observed when their proficiency is lower, and possibly that\nsecond language learners can accept ungrammatical sentences during their real-time processing. We discuss\na new approach to second language acquisition from the perspective of the grammatical illusion\nphenomenon.
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| 37.
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Ikeda, Kentaro ; Takizawa, Takumi ; Naito, Shigeto ; Nakamura, Kohki ; Sasaki, Takehito ; Kumagai, Koji ; Kobayashi, Tomio ; Arakawa, Hirokazu
概要:
Journal Article<br />Background & Aims: Ventricular arrhythmias,including premature ventricular contraction (PVC)and ven
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triculartachycardia (VT), are commonly observed in pediatric patients. Radiofrequency catheter ablation (RFCA) hascome to be recognized as the first-line therapy for ventricular arrhythmias in adult patients. However,indicationsfor the RFCA of pediatric ventricular arrhythmias remain controversial. The aim of this study was to elucidate theoutcomes of catheter ablation for pediatric ventricular arrhythmias. M ethods: Twenty-nine consecutive pediatricpatients (age, 2-15 years;12 male and 17 female) who underwent RFCA for ventricular arrhythmia at GunmaPrefectural Cardiovascular Center between March 2006 and December 2014 were included in this study. Detailedpatient medical histories were reviewed from the medical records provided. Results: The success rate of primaryRFCA was 83％ (24 of 29),with an overall success rate of 93％ (27 of 29)including secondary ablations. No majorcomplications, such as cardiac tamponade or atrioventricular block, were noted. The outcomes observed werecomparable to those previously established in adult patients. Conclusions: RFCA for pediatric ventriculararrhythmias exhibited a good success rate and few complications. RFCA could be a viable therapeutic option forpediatric ventricular arrhythmias, even in cases of frequent PVC.
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| 38.
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Irie, Yuki ; Hayashi, Kunihiko ; Shinozaki, Hiromitsu
概要:
Journal Article<br />Background and aims:Malnutrition is common in hemodialysis (HD) patients, which is known to reduce
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theirhealth-related quality of life(QOL). Potential barriers to adequate nutrition can affect a patient’s nutritional status,although whether they also affect the patient’s QOL remains unclear. This study investigated the associationsbetween several potential barriers and QOL among HD patients. M ethods:This cross-sectional study included 36Japanese patients receiving HD for 3 months. The patients completed structured questionnaires regarding anypotential barriers to adequate nutrition. Clinical parameters were evaluated during monthly check-ups. Results:The presence of 1 potential barrier significantly associated with decreased scores in the effect of kidney disease,burden of kidney disease, cognitive function, quality of social interaction, and mental health subscales in theKidney Disease Quality of Life Short Form. Poor knowledge was the most common potential barrier to adequatenutrition. However, difficulty chewing was significantly associated with the greatest number of decreased QOLsubscale scores, even after adjustment for age, suggesting that this barrier has the greatest direct effect on QOL.Conclusions: The presence of 1 potential barrier significantly associated with reduced QOL, indicating theimportance of evaluating potential barriers to adequate nutrition. Further study is necessary to investigate thepossibility that assessment and managing potential barriers improve QOL of patients receiving HD.
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| 39.
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Tomonaga, Hiroyasu ; Nakajima, Takahito ; Arisak, Yukiko ; Tokue, Azusa ; Higuch, Tetsuya ; Tsushima, Yoshito
概要:
Journal Article<br />Background&Aims:This study aimed to evaluate the diagnostic performance and features of a computer-
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assisteddiagnostic system.BONENAVI versions 1(BN1)and 2(BN2)were used to detect lesions on bone scintigraphy.Methods:Bone scintigraphy of 33 prostate cancer and 27 breast cancer patients with bone metastases was evaluated.Spots detected and analyzed by BN1 and BN2 were compared with those of manual analyses by nuclear medicinephysicians.Results:The sensitivity of BN1 and BN2 was 99.2％ and 97.0％ for prostate cancer and 96.8％ and 95.0％ for breastcancer,respectively.The specificity was 64.7％ and 68.0％ for prostate cancer and 65.3％ and 75.8％ for breastcancer,respectively.Positive predictive values tended to be higher for BN2,and negative predictive values tendedto be higher for BN1. BN2 showed fewer false positive spots. BN2 was superior to BN1 for detection ofphysiological uptake in the head and pelvis in breast cancer and in the cervical/lumbar spine in both breast andprostate cancer.Conclusions:BN2 showed better diagnostic performance than BN1.Understanding the characteristics of lesiondetection using each version of BONENAVI may be useful when evaluating new lesions on bone scintigraphy.
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| 40.
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Warita, Toshiro ; Kitagawa, Takanori ; Kobayashi, Hiroki ; Yonemoto, Yukio ; Iizuka, Yoichi ; Chikuda, Hirotaka
概要:
Journal Article<br />Background & Aims:Normal values for Sharp’s angle (SA) and the center-edge angle (CEA) in Japanese
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areunestablished. We examined these radiographic parameters to identify their correlation with gender, age andspino-pelvic alignment and particularly the prevalence of acetabular dysplasia in healthy adults (middle-aged orolder) in Japan. M ethods:In 639 members of the general population in a mountain village in Japan,the SA andCEA were measured. Correlations with gender, age and the sacro-femoral-pubic angle(SFPA)were investigated.Results:A total of 562 subjects(mean age 65.7 years;range,40-90 years)met the study criteria. The mean SA andCEA on both sides in women were larger and smaller than in men,respectively. An association was found betweenthe SA and age in both genders. Acetabular dysplasia,based on the SA and/or CEA,was more prevalent in womenthan in men and on the right side than on the left. The SFPA was associated with age and the SA in both gendersbut almost never with CEA. Conclusions:There were gender-associated and right-left differences in the prevalenceof acetabular dysplasia. The degree of pelvic retroversion was associated with age but almost never with the CEA.
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| 41.
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Kanbe, Tomoyuki ; Yokoo, Satoshi ; Ogawa, Masaru ; Takayama, Yu ; Gomi, Akinori ; Makiguch, Takaya
概要:
Journal Article<br />Background& Aims:The purpose of this study was to investigate changes in facial morphology after partialmaxillectomy and recovery after dento-maxillary prosthesis placement. Methods:For facial morphology
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measurements,the non-contact 3-dimensional(3D)digitiser and the analytical software were used for 21 patients withdefects classified into Class I or II of the Aramany classification. Results:It was quantitatively demonstrated thatfacial deformities resulting from partial maxillectomy were due to concavities from the subnasal point to thementolabial groove in the vertical range,and from the region around the nasal alar to the anterior cheek in thelateral range.Facial features anterolaterally expanded on the defected side in volume with the prosthesis.Facialdisfigurement extended to the lower face,and improvement of these deformities was also observed with theprosthesis.Using the non-contact 3D digitiser,the direction and amount of movement of the facial componentswithin the mid-and the lower face regions were 3-dimensionally determined,enabling rapid and accurate identificationof facial deformities,and recovery of the facial morphology with prosthesis. Conclusion:This is the first studyto analyse of prosthesis-induced changes in facial morphology after partial maxillectomy with a non-contact 3D digitiser.
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| 42.
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Tsujimura, Hiromi ; Iwanaga, Kikuko ; Sato, Yumi
概要:
Journal Article<br />Objectives:The aim of this study was to examine the reliability and validity of the 18 items of the
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Dementia ElderlyOdayaka Scale(DEOS)in elderly people with dementia who lived at home.Methods:Ninety-three elderly peoplewith dementia who lived at home and utilized a home-visit nursing service were enrolled.Three evaluators(twonurses and one family caregiver per subject)evaluated each subject twice at an interval of about two weeks.Results:A clinical dementia rating of 2 or 3 was the most common(30％ of enrolled patients).With respect tothe intra-rater and inter-rater reliability,the average difference between the two scores ranged between 0.5 and 0.8 for each item.The intraclass correlation coefficient using the test-retest method was 0.9(P＜0.01),while that ofthe total scores evaluated by the nurses and family members was 0.7-0.8(P＜0.01). The overall Cronbachαcoefficient for the 18-item DEOS was 0.95,while the coefficients for each area ranged from 0.86-0.91.Based on afactor analysis,the 18 items were classified into 3 domains:［Personhood］,［Interactions with surroundings］and［Expression of emotions］.Conclusion:The reliability and validity of the 18 items of the DEOS were verified.
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| 43.
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Higuchi, Hiroshi ; Kobayashi, Atsushi ; Ikeda, Keiko ; Hatayama, Kazuhisa
概要:
Journal Article<br />Purpose:To evaluate a novel method to diagnose injury of the postero-oblique ligament(POL)complicating injuryof the medial collateral ligament (MCL) of the knee and its treatment.M ethods:Five POL-injured patients
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with grade III MCL injury were enrolled. Injury of the POL was diagnosedby valgus stress radiography with an external rotational force applied to the leg at 30r knee flexion (VSRE) andarthroscopy.Results:On VSRE, in the neutral position widening of the medial joint space of the knee compared to the intactside was seen in all patients. Arthroscopy also showed marked widening of the joint space at the MCL andposteriorly to it. Intraoperatively, instability on the posteromedial side of the knee remained following the repairof the MCL alone,but stability was obtained by repair of the POL. No instability of the knee was noted on VSREeven two years postoperatively, and the patients could return to their former sport activities.Conclusions: VSRE was effective for diagnosing injury of the POL. If the POL-injury is detected using thisscreening test, repair of the POL as well as MCL would be considered necessary.
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| 44.
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Kunimatsu, Natsuko ; Kunimatsu, Akira ; Uchida, Yoshihiro ; Inano, Sachiko ; Nawano, Shigeru
概要:
Journal Article
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| 45.
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論文
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Yudistiro, Ryan ; Kosuda, Shigeru ; Higuchi, Tetsuya ; Taketomi-Takahashi, Ayako ; Tsushima, Yoshito
概要:
Journal Article
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| 46.
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鬼塚, 陽子
概要:
Journal Article
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| 47.
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Erdenee, Oyunchimeg ; Yamazaki, Chiho ; Kameo, Satomi ; Koyama, Hiroshi
概要:
Journal Article
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| 48.
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Shresth, Suman ; Iso, Tatsuya ; Hanaoka, Hirofumi ; Sunaga, Hiroaki ; Yamaguchi, Aiko ; Tsushima, Yoshito ; Kurabayash, Masahiko
概要:
Journal Article
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| 49.
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Kartamihardj, A.Adhipatria P. ; Hanaoka, Hirofumi ; Kameo, Satomi ; Koyama, Hiroshi ; Tsushima, Yoshito
概要:
Journal Article
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| 50.
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論文
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Nakagawa, Tomoyuki ; Kimura, Masashi ; Ogoshi, Atsuko ; Yanagisawa, Shinya ; Yorifuji, Hiroshi ; Takagishi, Kenji
概要:
Journal Article<br />Background: Risk factors have been reported for osteoarthritis (OA) after anterior cruciate ligamen
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t (ACL)reconstruction, but previous studies did not include a control group, and may have included OA that would havenaturally developed even in the absence of ACL injury. This study investigated risk factors compared with thepatient’s own contralateral knee.M ethods:Three hundred forty-nine patients who had undergone ACL reconstruction at least 15 years previouslywere invited to visit the hospital. After exclusion criteria were applied, 40 patients were included in the study,including 16 with progressive OA and 24 without OA. Progressive OA was defined as OA that was more advancedon the affected side than on the contralateral side. The variables evaluated included age at the time of surgery,timefrom injury to surgery, sex, graft material, cartilage damage, and meniscectomy.Results:No significant differences between groups were seen in terms of age,time from injury to surgery,sex,graftmaterial, or cartilage damage. Meniscectomy was ultimately performed significantly more frequently in the OAgroup (88％) than in the non-OA group (38％;p＜0.01).Conclusions:Meniscectomy was found to constitute a risk factor for the progression of OA after ACL reconstruction.
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| 51.
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Kikuchi, Senichiro
概要:
Journal Article<br />The efficacy of electroconvulsive therapy(ECT) is superior to that of repetitive transcranial magne
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tic stimulation(rTMS), particularly for the treatment of major depression with psychotic features. However, ECT issometimes terminated for several reasons, including patient refusal. Here, the authors present the case of a57-year-old woman who recovered from major depression with psychotic features with one course of rTMS afterECT was discontinued due to patient refusal. She had been suffering from depression with psychotic features (e.g., tactile hallucinations) for three years prior to admission. During the most recent episode, she was admitted tothe authors’hospital and was eventually treated with one course of ECT;however, there was no change in herreported symptoms. Four weeks later,she refused a second course of ECT but agreed to a course of rTMS therapy.She demonstrated gradual recovery from depression three weeks after the initial rTMS therapy session. Shedemonstrated significant improvement and was discharged from the hospital after 55 days following the first rTMSsession. Although the relationship between ECT and rTMS remains unclear, rTMS may be an option for majordepression with psychotic features when the patient does not consent to continuing with ECT.
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| 52.
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Hattori, Mai ; Shimizu, Akira ; Ishikawa, Osamu
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Journal Article
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| 53.
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タカハシ, ユウタロウ ; ウエハラ, ケイコ ; TAKAHASHI, Yutaro ; UEHARA, Keiko
概要:
Departmental Bulletin Paper
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| 54.
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論文
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Horikoshi, Masataka ; Futawatari, Tamae
概要:
Journal Article<br />Background and Aims:Male rectal cancer patients experience postoperative anxiety regarding bowel,ur
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inary,andsexual function impairment. These patients must cope with various physical and psychosocial issues. The purposeof this study was to explain the process of accepting postoperative functional impairments among male rectal cancerpatients.M ethods:Fourteen male rectal cancer patients who had undergone surgery 6 or more months beforehand wereassessed through semi-structured interviews. Data were analyzed using the grounded theory approach.Results: Simultaneous bowel, urinary, and sexual dysfunction mutually impeded male rectal cancer patients’activities and negatively affected their self-esteem alongside a feeling of lost masculinity. However,patients learnedto understand their condition while exploring coping techniques for these three major impairments on their ownterms. Patients adopted one of two coping methods,positive acceptance or acceptance with resignation,dependingon support structures and the effectiveness of these established coping methods.Conclusion:Patients’acceptance of the impairment of three major bodily functions should be characterized as asingle structure,rather than focusing on accepting bowel dysfunction alone. Support programs should be structuredbased on the processes characterized through this study along with patient readiness.
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| 55.
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論文
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Yoshida, Kumiko ; Kanda, Kiyoko
概要:
Journal Article<br />Purpose/Objectives:This study was aimed at developing a reliable scale for assessing the self-care
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agency of cancerpatients under treatment.Design:A cross-sectional study was performed.M ethods:The study involved patients with cancer who were receiving care on an outpatient basis at 4 hospitals inthe Kanto/Shinetsu Districts of Japan. The items of the Self-care Agency Scale for Cancer Patients under Treatment(SAC) were developed using a qualitative study. The main research variables that were analyzed were obtainedfrom a temporary questionnaire, the Self-Care Agency Questionnaire for Patients with Chronic Illness, and theFunctional Assessment of Cancer Therapy General. After an item analysis,the construct validity was assessed usinga confirmatory factor analysis, followed by an analysis of the scale’s reliability and criterion validity.Findings:A convenience sample of 303 cancer patients was utilized. The fitness indices for the scale were as follows:Goodness of Fit Index (GFI)＝0.911;Adjusted GFI＝0.878. The Cronbach αcoefficient was 0.900. The SAC wasdeveloped as a secondary factor model that included 3 factors and 15 items. The results of evaluation using thisscale were significantly correlated with those of extermal standards.Conclusions:The SAC’s construct validity, criterion validity, and reliability were all confirmed.
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| 56.
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Norjmaa, Batchimeg ; Saitoh, Takayuki ; Kasamatsu, Tetsuhiro ; Minato, Yusuke ; Murakami, Hirokazu
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Journal Article
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| 57.
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論文
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ヤマダ, トシユキ ; YAMADA, Toshiyuki
概要:
Departmental Bulletin Paper<br />In linguistic research, theoretical linguistics, psycho-linguistics, and foreign-language learning have been\nstudied in their own ways. To establish their organic relationship, I will
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propose a model of knowledge\ncycle. A driving force for the cycle is sentences containing grammatical errors made by foreign-language\nlearners (e.g., *John like apples). The ungrammaticalness of each sentence can be tested by psycho-linguistic\nexperiments such as acceptability judgments, reaction-time tasks. Attested ungrammatical sentences can\nbe used for theory construction in theoretical linguistics. Insights gained through such error analysis can be\napplied to devise effective input for efficient learning of foreign languages. Based on further learning, learners\nproduce a new set of ungrammatical sentences, which drives the cycle again. In this paper, I will\ndescribe the proposal and discuss its theoretical implications. Particularly, I will adopt the generative syntactic\nframework and analyze some of the ungrammatical sentences collected from Japanese learners of\nEnglish as a foreign language. The results show that among three factors (Merge, interface conditions, and\nnatural laws), interface conditions, particularly conceptual-intentional (CI) interface conditions, are crucial\nto account for the ungrammaticality.
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| 58.
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Bergeron, Sylvain ; ベルジュロン, シルヴァン
概要:
Departmental Bulletin Paper<br />As an increasing number of materials and language learning resources have become available online,\nEnglish language learners of any level can easily access an unlimited number of websites and
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applications\nat the swipe of a finger. For teachers and students concerned with the quality of these online tools, being\ndirected to websites that are trustworthy and truly educational can become a daunting task. This two-part\narticle aims to support teachers in this challenge. In Section One, titled Website Review and Assessment for\nListening Instruction , the results of a review and assessment conducted to determine the quality of readily\navailable online resources and study materials intended for English language teaching and learning are\npresented. In Section Two, titled Online English Language Course Assessment, a review and assessment\nof an online language course suitable for either self-study or for use within the context of the English as a\nForeign Language (EFL) classroom will be presented.
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| 59.
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Deadman, Mark ; デッドマン, マーク
概要:
Departmental Bulletin Paper<br />This research paper details the extensive use of Computer Assisted Language Learning (C
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ALL)\nfor a content-based reading syllabus at Gunma University, through the software program Moodle\n(Modular Object-Oriented Dynamic Learning Environment ), a free and open-source software learning\nmanagement system used at Gunma University.\n The research basis of this paper is within the sphere of Action Research , as a valuable professional\ndevelopment tool (Nunan, 2001) based on this researcher’s perceived valuation of the system and how it\ncould better aid students to perform better in and be more motivated towards their English language and\nreading studies, introduce new technological skills and abilities, and aid teachers in better preparation,\nteaching and assessment of reading classes. Moodle enthuses that the Lesson Module ‘enables a teacher\nto deliver content and/or practice activities in interesting and flexible ways...teachers can choose to\nincrease engagement and ensure understanding by including a variety of questions, such as multiple choice,\nmatching and short answer.’ (Moodle, 2016). Therefore, this paper will ascertain whether the syllabus\nachieved a greater engagement and enjoyment by the students, and ensured better comprehension and\nunderstanding of key tasks and instructions. In addition, it will detail how teachers can benefit course\nmanagement by employing such technology within the classroom.
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| 60.
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Muramoto, Erica Maria ; Karsten, Angela ; ムラモト, エリカ マリア ; カルステン, アンジェラ
概要:
Departmental Bulletin Paper<br />Bearing in mind the Japanese context, this paper elaborates on how maintenance of inter
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national children’s\nheritage language (HL) might contribute to the spread of bilingualism in the country. It also expands on the\nways these young learners see themselves as well as how they are seen by their families and within their\nacademic context. It is argued that young HL learners’ propensity towards bilingualism might not only pave\nthese children’s way to the acquisition of a second and/or foreign language, but also contribute to future\ndevelopments in foreign language learning among the monolingual sectors of society.
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| 61.
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Yoshida, Kumiko ; Kanda, Kiyoko
概要:
Journal Article<br />Purpose/Objectives:The purpose of this study was to demonstrate the relationship between self-care
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agency andquality of life (QOL) in cancer patients undergoing outpatient chemotherapy. Design: The study used a correlationalresearch design with cancer patients undergoing outpatient chemotherapy at a medical facility. M ethods:The subjects of the study were cancer patients from Facility A undergoing outpatient chemotherapy. A self-reportsurvey form was distributed to subjects and responses were returned by mail. The main variables of interestconsisted of(1)Honjo’s(2001)SCAQ to test chronic patients’self-care agency and (2)Cella’s(1993)FACT-G forQOL. Findings:The average age of subjects was 58.4, and the leading cancer types were breast cancer (38％) andlymphoma malignum (20％). The mean score(±SD) for each scale was 124.02± 13.56 on the SCAQ and 72.91±17.04 on the FACT-G. A significant correlation was found between the scores on these two scales (r＝.245, p.05). Conclusions: People with greater self-care agency have a higher level of QOL. The results suggest theimportance of nurses’support in helping to cultivate patients’self-care agency.
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| 62.
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Okuda, Yoichi ; Oshiro, Yukio ; Enomoto, Tsuyoshi ; Ohkohchi, Nobuhiro
概要:
Journal Article<br />The ileosigmoid knot (ISK) is a rare cause of intestinal obstruction in which the ileum wraps aroun
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d the baseof the sigmoid colon and forms a pseudo-knot of the intestine. Herein,we report a case of 76-year-old female withschizophrenia who presented with pan-peritonitis and shock. A 76-year-old female with shock was brought to ourhospital. She had a history of schizophrenia and a yearlong stay in a mental hospital before this admission. Shewas diagnosed with strangulation ileus by computed tomography(CT). The CT scan specifically showed that aloop of ileum was wrapped around the base of the sigmoid colon in anticlockwise direction, leading to theformation of a knot. The patient underwent emergent laparotomy soon after admission. Gangrenous portions ofthe ileum and sigmoid colon were resected, and an end-to-end anastomosis with a covering stoma was performed.We report a case of ileosigmoid knot in which the patient had schizophrenia,and discuss the relationship betweenpsychiatric disorder and dietary habits which may be associated with the patient’s led to the development of theISK.
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| 63.
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Kanzaki, Takao ; Takahashi, Yasuyuki ; Suto, Takayuki ; Tokue, Hiroyuki ; Kasama, Shu
概要:
Journal Article<br />Purpose:We aimed to evaluate the entrance skin dose (ESD) during radiofrequency catheter ablation (
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RFCA).M ethods:The X-ray fluoroscopic mode(70 kV, 7.5 p/s, 13.0× 13.0 cm)was evaluated at C-arm angles of 45°leftanterior oblique and 35°right anterior oblique. The bed height was raised by 4 to 8 cm from the bed base-pointposition (BP, 0 cm). Fluoroglass dosimeters were placed in three lines at 5-cm intervals on the surface of thephantom. The maximum skin dose conversion factors were calculated as the ratio of the calculated and the actualmaximum skin doses.Results:At heights of 6 and 8 cm,calculated ESDs had peak values of 93.0± 0.2 and 74.5± 2.7 mGy,respectively,whereas the actual maximum skin doses were in the range of 47.4± 0.2 to 59.5± 0.2 mGy. The maximum skin doseconversion factors were 0.79,0.87,0.53,0.64,and 0.72 at bed heights of 0,2,4,6,and 8 cm from the BP,respectively.Conclusion:A maximum skin dose conversion factor should be taken into consideration when determining themaximum skin dose in overlapping irradiation fields.
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| 64.
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Norjmaa, Batchime
概要:
Journal Article
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| 65.
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Yamamoto, Hanako ; Kurachi, Masashi ; Naruse, Masae ; Shibasaki, Koji ; Ishizaki, Yasuki
概要:
Journal Article
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| 66.
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Kartamihardja, A.Adhipatria P. ; Nakajima, Takahito ; Kameo, Satomi ; Koyama, Hiroshi ; Tsushima, Yoshito
概要:
Journal Article
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| 67.
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Thu, Huong Nguyen ; Hanaoka, Hirofumi ; Nakajima, Takahito ; Tsushima, Yoshito
概要:
Journal Article
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| 68.
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Yudistiro, Ryan ; Takahashi, Ayako ; Tsushima, Yoshito
概要:
Journal Article
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| 69.
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Zhang, Xieyi ; Kim, Mai ; Yamaguchi, Aiko ; Nakajima, Takahito ; Tsushima, Yoshito
概要:
Journal Article
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| 70.
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Sari, Mayang ; Kameo, Satomi ; Yamazaki, Chiho ; Setiawat, Elsa Pudji ; Afriandi, Irvan ; Koyama, Hiroshi
概要:
Journal Article
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| 71.
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Suri, Nurma ; Yamazaki, Chiho ; Kameo, Satomi ; Herawati, Dewi M.D. ; Raksanagara, Ardini ; Koyama, Hiroshi
概要:
Journal Article
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| 72.
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Erdenee, Oyunchimeg ; Paramita, Sekar Ayu ; Koyama, Hiroshi
概要:
Journal Article
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| 73.
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Nagamine, Takeaki ; Sato, Ken ; Kakizaki, Satoru ; Satoh, Takahiro ; Koka, Masashi ; Kamiya, Tomihiro
概要:
Journal Article
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| 74.
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Sato, Ena ; Yamaji, Takehiko ; Sato, Takahisa ; Hasegawa, Makoto ; Shirakura, Kenji ; Yanagawa, Takashi ; Watanabe, Hideomi
概要:
Journal Article
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| 75.
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Sumino, Hiroyuki ; Ichikawa, Shuichi ; Kasama, Shu ; Ichikawa, Akiko ; Araki, Yoshihiro ; Kanai, Hiroyoshi ; Itoh, Toshio ; Iwasaki, Toshiya ; Sawada, Yoshie ; Takahashi, Takashi ; Kumakura, Hisao ; Takayama, Yoshiaki ; Minami, Kazutomo ; Kurabayashi, Masahiko ; Murakami, Masami
概要:
Journal Article
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| 76.
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Shiraishi, Takuya ; Tomizawa, Naoki ; Andoh, Tatsumasa ; Arakawa, Kazuhisa ; Kobayashi, Katsumi ; Kurosaki, Ryo ; Iwamatsu, Kiyohito ; Enokida, Yasuaki ; Okada, Takuhisa ; Ozawa, Naoya ; Yagi, Naoki
概要:
Journal Article
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| 77.
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ヨシダ, ケンスケ ; Yoshida, Kensuke ; 吉田, 建介
概要:
Thesis or Dissertation<br />学位記番号：医博甲1555
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| 78.
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ヤマダ, トシユキ ; Yamada, Toshiyuki
概要:
Departmental Bulletin Paper
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| 79.
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オオタケ, コウイチロウ ; Ohtake, Koichiro ; 大竹, 公一郎
概要:
Departmental Bulletin Paper
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| 80.
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Yoshida, Kensuke ; Kimura, Takao ; Shimizu, Tomo ; Sato, Koichi ; Aoki, Tomoyuki ; Sumino, Hiroyuki ; Tsunekawa, Katsuhiko ; Miyazaki, Osamu ; Fukamachi, Isamu ; Nakajima, Katsuyuki ; Okajima, Fumikazu ; Murakami, Masami
概要:
Journal Article<br />Background:Apolipoprotein M (ApoM) is bound to high-density lipoprotein (HDL) in plasma, and HDL ha
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santicoagulation effects. However, the association between ApoM and biomarkers of coagulation was unclear.Therefore, we investigated relationships between ApoM and biomarkers of coagulation.Methods: Serum samples from 233 Japanese participants including with diabetes mellitus, hypertension,dyslipidemia, or healthy controls were analyzed. Serum ApoM levels were measured using Enzyme-LinkedImmuno-Sorbent Assay(ELISA).Results:Analysis of all 233 participants showed that ApoM levels were positively correlated with age (r＝0.284,p＜0.001), total cholesterol (TC;r＝0.477, p＜0.001), HDL-cholesterol (HDL-C;r＝0.234, p＜0.001) and lowdensitylipoprotein cholesterol (LDL-C;r＝0.331, p＜0.001). Higher ApoM levels were correlated with shorteractivated partial thromboplastin time(APTT;r＝－0.226,p＝0.001) and prothrombin time(PT,％;r＝0.326,p＜0.001). Separate analysis of the 115 healthy controls showed that ApoM levels were positively correlated with age,TC, HDL-C and LDL-C, and higher ApoM levels were correlated with shorter PT.Conclusion:Serum levels of ApoM may influence biomarkers of coagulation.
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| 81.
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Pathiranage, A.M.S. Deepanie ; Mori, Yoshie ; De, Silva Shamya
概要:
Journal Article<br />Type 1 Diabetes Mellitus (T1DM) is a chronic condition with long term psychological and behavioural
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implications. Self-care is the cornerstone to adapt into this condition. Sociocultural appropriate self-care practicesare vital aspects in nursing care. The article reviews literature on self-care among adolescents with T1DMconsidering sociocultural context and to discuss existing nursing care and its current issues within the Sri Lankancontext. A systematic literature survey was conducted to review empirical studies from 2000 to 2014. Electronicdatabases PubMed and CINAHL were utilized. Personal interviews and relevant websites were accessed to exploreexisting nursing care and its current issues in Sri Lanka. PubMed displayed 1,065 articles for the key words‘nursing’and ‘Type 1 diabetes’while CINAHL displayed 31 articles for the same.‘Perceptions’,‘associated characteristics’,‘school behaviour’and ‘family behaviour’were identified as main categories in the literature. The nursing orientedarticles relevant to self-care’, ‘sociocultural’, ‘Sri Lanka’and ‘Type 1 diabetes’were insufficient in number.Scientific studies pertaining to the field need to optimized. The unavailability of specialized nurse educators forchildhood diabetes is a noticeable issue. The implementation of effective nursing interventions considering SriLankan sociocultural context is recommended.
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| 82.
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Ono, Hiromi ; Tanaka, Akira ; Nakazato, Kyoumi ; Hasegawa, Yutaka ; Kim, Ke Ih ; Kim, Soo Ryang ; Nakajima, Katsuyuki ; Nagamine, Takeaki
概要:
Journal Article
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| 83.
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Bergeron, Sylvain
概要:
Departmental Bulletin Paper<br />At a time when new language-teaching trends encourage the use of interactive methods to motivate\nand maintain student interest, the persistent tendency to retain a teacher-centered approach in
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teaching\nEnglish grammar is counterproductive. With more effective methods currently available, monotonous rote\nlearning need no longer dominate the main part of a lesson. Guided by the work of Ur (2009), this paper\nwill introduce the results of a case study conducted by interview. In response to these and other related\nfindings, a model for an interactive, multi-skilled, learner-centered activity designed to effectively teach a\nspecific grammatical concept will also be presented.
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| 84.
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論文
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Takahashi, Hiroshi
概要:
application/pdf<br />In 1915, Tadaroku Ohtashiro (1881–?) was appointed as the first Professor of Physics at the Kiryu D
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yeing and Weaving Vocational School, which was a forerunner of Kiryu Technical College, which itself was later integrated into Gunma University. In the same year, he published a textbook titled “Quantitative Physics.” Contrary to the title, the book is actually a manual for laboratory physics. The unique features of the textbook are that it contains a large number of real experimental values that were obtained by the Professor’s own measurements, and a detailed explanation of experimental error. In this paper, I explore, based on historical documents related to him, Prof. Ohtashiro’s thoughts regarding how physics should be taught.<br />October 13-15, 2016, Kiryu, Japan
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| 85.
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Kuwabara, Hidemasa ; Yamaoka, Noriko ; Oomaki, Junko ; Suzuki, Mitsuo
概要:
Journal Article<br />Background:To know actual conditions and a balance between food intake and energy expenditure of ea
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ch of theelderly in the super-aged society is very important.Aim:To determine the resting energy expenditure (REE) of the elderly residing in the“Roken”.M ethods:For Study 1,REEs of 47 elderly people in the Roken were measured. For Study 2,REEs of 22 patientswho were admitted to a general hospital were measured.Results:In Study 1, REE of the elderly people in the Roken ranged from 523 to 1,628 kcal/day/body;the meanvalue was 909 ± 239 kcal/day/body(mean± SD) and 21.6± 4.5 kcal/kg/day. A discrepancy between REE anddietary energy intake was observed.In Study 2, REE of patients in the hospital widely ranged from 589 to 2,549 kcal/day/body;the mean value was1391± 459 kg/day/body(mean± SD).Conclusions: The mean value of REE of the elderly in the Roken was 74％ lower than that of the healthyindividuals in previous reports. The observed discrepancy between REE and dietary energy intake suggested theneed for improvement in the effective absorption of nutrients from the digestive system, which may be moreimportant than food intake
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| 86.
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Paramit, Sekar Ayu ; Koyama, Hiroshi
概要:
Journal Article
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| 87.
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シバタ, チカコ ; Shibata, Chikako ; 柴田, 知薫子
概要:
Departmental Bulletin Paper
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| 88.
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論文
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オオタケ, コウイチロウ ; Ohtake, Koichiro ; 大竹, 公一郎
概要:
Departmental Bulletin Paper
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| 89.
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論文
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Kusanagi, Yuka ; 草薙, 優加
概要:
Departmental Bulletin Paper<br />English education as part of university-level liberal arts curricula requires both acad
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emic English literacy education (which includes instruction in how to give an academic presentation) and instruction in practical English conversation (Nihongakujutsukaigi, 2010a, 2010b). To learn how to give a presentation, students must develop not only their knowledge of the target language, the organization of presentations, and the contents of their presentation; they also need to develop nonverbal communication skills. This study aimed to investigate the effect of nonverbal communication competence through three types of instruction: deductive, inductive, and a mix of both. The results showed that learners attained a good performance for posture. Inductive instruction was the most effective for making eye contact, and deductive instruction had the most impact on the performance of gesture. The mixed method ranked last for both eye contact and gesture. The results show that no matter what form instruction takes, it helps learners improve their nonverbal communication competence in oral presentations.<br />高等教育機関である大学の教養英語教育では、実用的な会話能力の教授だけでなく、アカデミック・プレゼンテーションの教授を核とするリテラシー教育が求められている（日本学術院 , 2010a, 2010b）。本稿では、プレゼンテーションのより効果的教育方法を探るため、非言語コミュニケーションの明示的教授、非明示的教授、両者を取り入れた教授を比較した。姿勢ではどの教授方法も達成度が高かった。アイコンタクトでは非明示的教授、身ぶりでは明示的教授の効果が一番高く、両者を取り入れた教授の効果は共に最下位であった。入り交じった結果が得られたが、何らかの形で教授をすることにより、学習者の非言語コミュニケーション能力の向上を期待できることが分かった。
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| 90.
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Bergeron, Sylvain ; ベルジュロン, シルヴァン
概要:
Departmental Bulletin Paper<br />As students are exposed daily to various forms of media, it is no longer possible to pr
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etend that this form of communication and information exchange belongs exclusively to the world outside the classroom. On the contrary, by making use of media resources within the English as a foreign language (EFL) classroom, teachers become better equipped to bring content and context to life. Therefore, guided by the work of Brinton (2001), this paper will introduce both a theoretical and practical framework designed to encourage the use of media for the purpose of motivating and promoting language production in the EFL classroom.<br />授業内でのメディア使用は、学習者中心・タスク中心の教授法／学習法 (learner-centered, task-based teaching/learning) の実践を可能にし、また生徒同士の協同学習 (cooperative learning) をも生み出す。ドナ・ブリントン（ 2001）の論文「言語指導におけるメディアの使用」 (D. Brinton, “The Use of Media in Language Teaching”, 2001) に言及しつつ、本論文は外国語としての英語学習における言語生成促進に有効なメディアの種類とその利用法について考察し、新たな論考的且つ実践的な論説を提示する。
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| 91.
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論文
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Lee, Bumsuk ; Miyanjo, Rika ; Tozato, Fusae ; Shiihara, Yasufumi
概要:
Journal Article<br />Background & Aims : The aim of this study was to investigate dual-task interference on maximum grip
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force while performing a grip and lift task. Moreover, the influence of handedness on maximum grip force, and the relationship between maximum grip force and subjective difficulty were also investigated. Methods : Eleven subjects took part in the study. The study experiment was comprised of one single task and three dual tasks: 1)grip and lift task, 2)grip and lift task with single-leg stance, 3)grip and lift task with eyes closed,and 4) grip and lift task with calculation. The experiment was conducted in both hands separately. Maximum grip force of four fingers (dominant/non-dominant×thumb/index finger) was compared among tasks and between hands. Results : We found that maximum grip force was increased mainly by the cognitive dual task in both hands,and that there was no difference between hands in the same task. There was a positive correlation between the perceived difficulty and maximum grip force in the dominant hand. Conclusion : Our results suggest that maximum grip force could serve as an objective index for evaluating dual-task interference in upper extremity function.
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| 92.
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Nazri, Cut ; Yamazaki, Chiho ; Kameo, Satomi ; MDH, Dewi ; Sekarwana, Nanan ; Koyama, Hiroshi
概要:
Journal Article
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| 93.
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Puspitasari, Irma M. ; Yamazaki, Chiho ; Abdulah, Rizky ; Putri, Mirasari ; Kameo, Satomi ; Nakano, Takashi ; Koyama, Hiroshi
概要:
Journal Article
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| 94.
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Duc, Binh Duong ; Higuchi, Tetsuya ; Achmad, Arifudin ; Nakajima, Takahito ; Teketomi-Takahashi, Ayako ; Tsushima, Yoshito
概要:
Journal Article
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| 95.
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論文
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Bando, Harumi ; Yoshida, Tohru
概要:
Journal Article<br />Objective: To determine the impact of an intervention in which a child’s urinary cotinine value is
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told to smoking family members on stage of behavioral change for smoking cessation, and to investigate factors that contribute to the progression of stage of behavioral change among smoking family members. Methods : Participants were smoking family members of children enrolled at five kindergartens in two cities in Japan between December 2009 and January 2011. The stage of behavioral change before and after the intervention and related variables were measured by self-administered questionnaires. Statistical analyses were performed using the Wilcoxon signed-rank test and multivariate logistic regression analysis. Results : Valid responses were obtained from 110 participants in 101 households. Before the intervention,39 participants(35.5％)were in the first half of the pre-contemplation stage,53 participants (48.2％) were in the latter half of the pre-contemplation stage, 18 participants (16.4％) were in the contemplation stage,and no participants (0.0％)were in the preparation stage. A significant difference in stage of behavioral change was found before and after the intervention (z＝－3.350, p＝0.001). The stage of change progressed after the intervention. The lower the stage of behavioral change for smoking cessation before the intervention (odds ratio［OR］11.90, 95％ confidence interval［CI］2.24-63.30, p＜0.01) or the higher a parent’s anxiety regarding the children’s health (OR 4.23, 95％CI 1.34-13.30, p＜0.05),the more the intervention led to a progression in the stage of behavioral change. Conclusion : A biochemical feedback intervention for smoking family members who are in the first half of the precontemplation stage could lead to progress in the stage of behavioral change among smokers, and this progress might lead to an increase in the number of quitters.（Kitakanto Med J 2014；64：125～134）
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| 96.
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論文
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Katada, Yuko ; Koitabashi, Kikuyo ; Tomono, Syoichi ; Oka, Michiyo
概要:
Journal Article<br />Background & Aims : The aim of the present study was to verify the impact of progressive muscle rel
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axation (PMR) in combination with breathing technique (breathing PMR) on self-control for stress management in patients undergoing treatment for type 2 diabetes mellitus. Methods : Twenty-four patients participated and were followed during a 2-month pre-intervention (baseline) period and a 6-month intervention period. Changes in salivary amylase concentration, blood pressure, heart rate, HbA1c level,and objective indices including relaxation scales,coping behavior scales,and mental health patterns extracted from semi-structured interviews were assessed before and after the interventions. Results : There were significant differences in the physical indices(salivary amylase concentration,blood pressure,heart rate)and relaxation scales between the pre-intervention and post-intervention periods(p＜0.05-0.01). The HbA1c levels during intervention were stable in a better range compared with those of previous year (p＜0.05-0.01). Subjective indices including coping behavior scales, mental health patterns, and other complaints tended to improve during concomitant breathing PMR. Conclusions : Continuous breathing PMR during treatment for type 2 diabetes mellitus may improve self-control and stress management.（Kitakanto Med J 2014；64：135～148）
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| 97.
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ワタナベ, タカコ ; フリン, ジュディス ; Watanabe, Takako ; Flynn, Judith ; 渡部, 孝子
概要:
Departmental Bulletin Paper
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| 98.
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論文
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Kaneko, Yukiko ; Koitabashi, Kikuyo ; Kanda, Kiyoko
概要:
Journal Article<br />Background & Aims : One of the roles of the nurse who comes into contact with a patient at the end
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of life is to attend to a person who, although living, faces imminent death. Purposeful touch is an example of an active support method. This means that the nurse’s act of touching is intended to help the patient become more comfortable, even if only slightly, and has the objective of mentally and physically healing the patient. To date, no studies concerning how patients experience touch have been reported. The aim of the present study was to clarify the process of end-of-life cancer patients finding meaning in receiving touch intervention. Methods : The study participants comprised 12 end-of-life cancer patients who underwent touch intervention by nurses for 20 minutes, two or three times per week. A semi-structured interview was carried out following each intervention, and the results of the patients’ responses were analyzed according to the modified grounded theory approach. Salivary secretory immunoglobulin A (s-IgA) concentration and a visual analogue scale (VAS) on comfort level were evaluated both before and after the series of planned interventions. Results : End-of-life cancer patients passively accepted touch intervention, and subsequently rated touch to have value. They were also given a boost of power to live in comfort, an emotion that occurs as a result of continuous touch intervention. Finally, they experienced a series of processes to surrender to touch. No significant differences were found in IgA concentration in saliva taken before and after the series of planned interventions. The VAS on comfort level after the series of interventions was significantly higher than that before the interventions. Conclusions : Continuous purposeful touch intervention may positively affect patients’ psychological comfort. Furthermore, patients’ intentions to allow themselves to undergo touch intervention by nurses might positively affect their will to survive.
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Ono, Hiromi ; Tanaka, Akira ; Nakazato, Kyoumi ; Hasegawa, Yutaka ; Kim, Ke Ih ; Kim, Soo Ryang ; Nakajima, Katsuyuki ; Nagamine, Takeaki
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Journal Article<br />Background& Aims : A comparative study between plasma diagnostic markers and oxidative stressinduced biomarkers localized differently in the liver has not been reported in non-alcohol fatty liver (NAFLD) and
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non-alcoholic steatohepatitis (NASH). Methods : Pathological observations by Hematoxylin and Eosin (HE) staining and immunostaining by specific antibodies against metallothionein (MT)-1/2 and-3,heme oxygenase-1 (HO-1), adiponectin using biopsy samples and plasma diagnostic makers were determined in 37 cases. Results : The MT-1/2,HO-1 and adiponectin levels were all significantly reduced in the liver with NASH compared with NAFLD and control. MT-1/2 was most strongly stained in hepatocytes in the normal and NAFLD liver,while it was significantly reduced in NASH. Adiponectin was stained significantly less at blood vessels in NASH compared with NAFLD and controls. HO-1 was also stained significantly less in the Kupffer cells in NASH compared with NAFLD and controls. MT-3 was stained similarly among the three groups at blood vessel cells. Those biomarkers trended negatively with plasma liver injury biomarkers. Conclusions : The significantly reduced expression of oxidative stress-induced biomarkers in NASH may be associated with the degree of pathological damage. In particular, MT-1/2 appears to exert an important effect in hepatocytes against stress-induced damage in NASH.
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Hashizume, Yutaka ; Takise, Atsushi ; Shimizu, Yasuo ; Horie, Takeo ; Endou, Katsuaki ; Kawata, Tadayoshi ; 橋爪, 裕
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Journal Article
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