著者

池田 稔 生井 明浩 佐藤 正美 野村 泰之

出版者

耳鼻咽喉科展望会

雑誌

耳鼻咽喉科展望 (ISSN:03869687)

巻号頁・発行日

vol.51, no.4, pp.208-214, 2008 (Released:2009-11-19)

参考文献数

6

---

Burning tongue syndrome is a collective name for diseases that cause a burning pain of the tongue, however, no clear clinical or laboratory abnormalities may be observed. The pain is a superficial, described as a burning sensation, and may occur in the tongue, palate, lips, buccal mucosa, gingiva, and teeth. Seventy-five percent of patients with burning tongue syndrome are middle aged women in their 50's and they are often post-menopausal. However, this syndrome may be observed in all ages regardless of gender. A variety of pathological causes have been proposed for this mysterious syndrome.Pain can be classified as nociceptive, neuropathic, or psychogenic, and the mechanism for the onset of burning tongue syndrome has been investigated in relation to all of these. Pain can be classified as acute or chronic. While acute pain may be alleviated with rest or analgesics, chronic pain lasts beyond a reasonable time needed for healing of an acute disease or wound and it may overlap with psychogenic pain. Many cases of burning tongue syndrome have been classified as chronic pain (psychogenic pain).Marked inflammation or tissue damage in burning tongue syndrome that are sufficient to account for the pain have not been detected. However, mild glossitis, micro-trauma caused by dentures, and dry mouth are often observed. Therefore, burning tongue syndrome may result from chronic pain caused by chronic irritation to the nociceptor in these minor lesions. In recent years, burning tongue syndrome has been proposed to be a neuropathic pain of the lingual nerve involving a taste disorder.Since the causes and background factors of burning tongue syndrome are not obvious, multiple treatments exist. The cases with dry mouth are treated with oral drugs such as pilocarpine hydrochloride, to promote salivation. For cases with taste disorder, zinc therapy using polaprezinc has been effective. For cases with suspected non-organic pain, anti-anxiety drugs or anti-epileptics, such as benzodiazepine, are recommended. The anti-epileptics, Rivotril® and Landsen®, enhance the GABA neuron activity specifically and are considered to be effective for neuropathic pain in burning tongue syndrome. For cases with masked depression, tetracyclic antidepressants or SSRIs are recommended. Patients with masked depression may have physical complaints and autonomous neurological symptoms, while the symptoms of depression are inconspicuous. Therefore, they have some common characteristics with patients with burning tongue syndrome.

著者

松井 希代子 柳原 清子 佐藤 正美 能登原 寛子 下 綾華 塚本 愛実 中村 優希 西野 ひかり 東 郁江 兵田 亜未 村田 奈穂 元橋 茉佑 森田 恵里 米澤 智亜紀

出版者

ウェルネス・ヘルスケア学会

雑誌

Journal of wellness and health care (ISSN:24333190)

巻号頁・発行日

vol.41, no.1, pp.125-135, 2017

---

Cancer medicine is becoming more sophisticated and complex, and therefore it is becoming more difficult to care for people at the end of life. This study was performed to identify the nature of positive attitudes to nursing practice of nurses in general hospitals, and to examine their associations with various different factors. The participants were 683 nurses working in 41 wards in eight regional general hospitals. The survey was carried out as an anonymous self-administered questionnaire. Four factors were identified as constituents of nurses' positive attitudes to nursing practice. These consisted of three factors concerning attitudes and knowledge, comprising [The practice of specialist end-of-life specific care], [Making the best arrangements until the end], and [Spiritual care], and one affirmative sentiment, that of [The confidence to nurse someone at the end of life]. The mean score for factors related to knowledge of nursing practice was > 4 points on a 6-point scale, corresponding to "Somewhat applicable," whereas the mean score for the sentiment [The confidence to nurse someone at the end of life] was > 3 points, corresponding to "Not really applicable." In terms of related factors, for all factors other than spiritual care, positive attitudes to nursing practice increased significantly with increasing experience. There was no association with having cared for a dying family member. Although having experienced an educational opportunity was not associated with the practice of case conferences for deceased patients, it was significantly associated with the experience of having been able to talk at length about the care they had provided and their own thoughts in venues such as case conferences, receiving recognition by colleagues at their own level of seniority or above, and reflection. Improving nurses' positive attitudes to nursing practice in end-of-life care in general hospitals, therefore, depended not on personal characteristics, such as having taken care of a dying family member, but rather on having repeatedly overcome difficulties in the course of nursing experience. Talking at length about care and expressing one's own thoughts, receiving recognition from colleagues at one's own level of seniority or above, and reflection on nursing practice were all important in this process.がん医療が高度・複雑化し、結果、人々が「死」を看取っていくことが難しくなっている。本研究の目的は、総合病院における看護師のがん終末期の実践への肯定感はどのようなものかを明らかにし、要因との関連を見ることとである。対象は地方の 8 つの総合病院 41 病棟683 名の看護師である。自記式質問紙調査を行い、看護師の実践への肯定感は 4 因子の構造として見いだされた。それは【終末期固有の専門的ケア実践】、【最期までの最善の調整】、【スピリティアルなケア】という実践への態度や認識と、【最期を看取っていく自信】という肯定的心情であった。実践への認識の平均値は 6 段階中 4 点台で、「どちらかといえばできる」レベルであり、【最期を看取っていく自信】の心情は 3 点台で「どちらかといえば自信がない」であった。関連要因では、スピリティアルケアを除く全ての因子で、経験年数が増すと実践への肯定感が有意に高まっていた。また、身内の死の看取り経験は関連がなかった。一方、教育的働きかけを受けた経験との関連は、デスカンファレンス実施の有無とは関係がなかったが、自分の行ったケアや思いを十分に語った経験、先輩や同僚に認められた経験、そしてリフレクションが有意に関係していた。つまり、総合病院の終末期ケアにおいて、看護師の実践への肯定感の高まりは、身内の死の看取りなどの個人的特性ではなく、看護経験の中で、困難感からの転換の形で積み重ねられていた。その過程では、ケアや思いを十分に語り、先輩や同僚に認められ、そして実践をリフレクションすることが重要となる。

著者

佐藤 正美

出版者

公益財団法人 日本醸造協会

雑誌

日本醸造協会誌 (ISSN:09147314)

巻号頁・発行日

vol.88, no.2, pp.135-139, 1993-02-15 (Released:2011-09-20)

参考文献数

12

---

ここ数年, 魚醤の需給及び製造に関する問い合わせが急増している。これは, 東南アジア方面からの移住者の増加による, いわゆるエスニック料理のブームが大きく影響しているものと思われる。幻の魚醤となってしまった「いかなご醤油」の復元に成功された著者に魚醤について解説していただいた。

著者

外崎 明子 佐藤 正美 七澤 朱音 浅野 茂隆

出版者

独立行政法人国立国際医療研究センター

雑誌

挑戦的萌芽研究

巻号頁・発行日

2010

---

座りがちな生活習慣は肥満やメタボリック・シンドロームの発症リスクの上昇と関連し、座ったままで過ごす時間がインスリン抵抗性を高めるためであると推測されている。乳がん化学療法を受ける患者では座りがちな生活スタイルとなる傾向にある。本研究はパイロットスタディとして、乳がん化学療法中の患者を対象に活動強度別活動時間とインスリン抵抗性、体重増加率、身体組成の変化との関連性を検証する。インスリン抵抗性はHOMA-R(Homeostasis Model Assessment Score)で評価する。データ収集中の現時点で、体重増加率は3.OMETs(metabolic equivalent)以上の活動時間数と強い負の相関関係にあり、化学療法中の体重増加抑制には中等度以上の身体活動量が影響する傾向が認められた。