著者

原田 清

出版者

共栄大学

雑誌

共栄大学研究論集 (ISSN:13480596)

巻号頁・発行日

vol.8, pp.67-77, 2010-03-31

---

ドイツ連邦議会は、「原発は予測不能な損害を生ずる決定的なリスクがあるため、誰でもがその責任を負うことができない」として、原子力発電への利用を終了させることを決めた。一方、日本は地震国で海溝型巨大地震は周期的に起こると高い確率で予測しているにもかかわらず、その震源の真上に浜岡原発を稼働させている。この両国の違いは何であろうか。日本は、国民に対する最悪のリスクを回避しようとしていない。これは、政府、電力会社、マスコミなどの組織的な国民に対する欺きである。国家が壊滅状態となることを無視し、国民への議論を退け思考の空白をつくっている。かつて日本軍が戦争を起こした組織的な倫理観の欠如のようなものであると思える。ドイツ人に比べ日本人には組織になると倫理観の欠如という不幸な体質があると考える。

著者

原田 清美 西田 直子 北原 照代

出版者

日本看護技術学会

雑誌

日本看護技術学会誌 (ISSN:13495429)

巻号頁・発行日

vol.14, no.2, pp.164-173, 2015-08-20 (Released:2016-04-26)

参考文献数

20

被引用文献数

1

---

本研究の目的は,看護師の看護作業による腰痛への効果的な予防対策を講じるために,腰痛の有無と看護作業との関連を明らかにすることである. 平成24年10月に,A大学病院に勤務する看護師320人を対象とし,無記名自記式質問紙調査を実施した. 調査項目は,腰痛の状況,身体的につらい看護作業,移乗・移動介助方法など計32項目である.腰痛の有無別,ベッドから車椅子への移乗,体位変換やベッド上での移動介助方法の比較には,フィッシャーの直接確率検定を用いた. その結果, 「現在腰痛がある」 と回答した看護師は144人 (54.3%) であった.腰痛あり群は,なし群にくらべ,多くの看護作業が身体的につらいと感じていた.腰痛あり群は,移乗および移動介助を 「一人で実施している」 と回答した割合が高く,移動介助では有意な差を認めた (P =0.012).また両群ともに 「道具を使う」 と回答した看護師の割合は低かった.これらのことにより,移乗・移動介助を一人で行わないことや道具を活用するなどの腰痛予防対策を取り組む必要性が示唆された.

著者

鵜澤 成一 鈴木 美保 中久木 康一 道 泰之 山城 正司 原田 清

出版者

一般社団法人 日本口腔腫瘍学会

雑誌

日本口腔腫瘍学会誌 (ISSN:09155988)

巻号頁・発行日

vol.25, no.4, pp.151-159, 2013-12-15 (Released:2014-01-30)

参考文献数

12

被引用文献数

5 1

---

前腕皮弁は薄くしなやかな皮弁であり,長い血管柄を有するため頭頸部再建に多用されている皮弁の1つである。当科では,1987年から頭頸部領域の欠損に対し,遊離皮弁を用いた再建手術を行っている。2012年9月までにおいて395例に対し,401皮弁の移植手術を行ってきた。皮弁の内訳は,前腕皮弁193例,腹直筋皮弁155例,肩甲骨複合皮弁42例,腓骨皮弁8例,前外側大腿皮弁2例,広背筋皮弁1例であり,前腕皮弁が最も多く用いられていた。前腕皮弁を用いた再建手術の適応としては,おおむね半側までの舌口底欠損,頰粘膜,中咽頭欠損などであり,さまざまな頭頸部領域の欠損に用いることが可能であった。前腕皮弁移植における生着率は99%(191例/193例)であったが,口腔内の創部哆開などの合併症は39例(20.1%)に生じており,また,皮弁採取部の合併症は27例(13.9%)に生じていた。今回の概説では,当科における前腕皮弁の採取法,適応,再建時の工夫などについて概説し,さらに,今後の課題について述べてゆく。

著者

大町 浩史 原田 清 佐藤 昌 盛島 聖子 樺沢 勇司 丸岡 豊 小村 健

出版者

特定非営利活動法人 日本顎変形症学会

雑誌

日本顎変形症学会雑誌 (ISSN:09167048)

巻号頁・発行日

vol.16, no.1, pp.8-11, 2006-04-15 (Released:2011-02-09)

参考文献数

10

---

Soft tissue changes in the chin were compared between patients undergoing sagittal split ramus osteotomy (SSRO) for mandibular setback with and without reduction genioplasty. Twenty patients with symmetrical skeletal Class III malocclusion were examined. Twelve underwent SSRO alone (group I), and 8 underwent SSRO combined with reduction genioplasty (group II). Reduction genioplasty was performed by two horizontal osteotomies, removing the bony wedge, and posterosuperior movement of the inferior segment of the chin. Lateral cephalograms were obtained preoperatively and 6 months postoperatively. Pre- to postoperative changes in the positions of hard-tissue points (B-point [B], pogonion [Ng], and menton [Me]) and soft-tissue B-point [sB], soft-tissue pogonion [sPog], and menton [sMe] were measured on the cephalograms. The ratio of the soft tis-sue movement to the hard tissue movement was also calculated. Though superior movement of Me was significantly larger in group II than in group I, there were no significant differences in the superior movement ratios of sMe to Me between the two groups. However, the posterior movement ratio of sPog to Pog was significantly larger in group I than in group H. These results suggest that the reduction genioplasty performed by two horizontal osteotomies, removing the bony wedge, and posterosuperior movement of the inferior segment of the chin had little effect on the posterior movement of the chin. Therefore, in patients with skeletal class III malocclusion, reduction genioplasty should be applied mainly to vertical shortening of the chin.

著者

原田清司

出版者

横浜市

雑誌

調査季報

巻号頁・発行日

no.35, 1972-09-30

著者

山本 容子 室田 昌子 岩脇 陽子 滝下 幸栄 柴田 明美 原田 清美 松岡 知子

出版者

日本医学教育学会

雑誌

医学教育 (ISSN:03869644)

巻号頁・発行日

vol.46, no.6, pp.491-495, 2015-12-25 (Released:2017-03-03)

参考文献数

12

被引用文献数

1

---

背景 : 手指衛生は医療関連感染防止の最も重要な対策である. 看護師を対象に手指の汚染状況を可視化する手指衛生教育を実践し検討した. 方法 : 看護師29名にATP拭き取り検査及び蛍光塗料とブラックライトを併用した教育を実践し調査した. 結果 : 手指衛生が重要であるとの認識は, 教育後に有意に高くなった. また, 研修目標の到達度では, 約8割の看護師が「自分自身の手洗い方法についての振り返り」, 「手袋を外した後の手指衛生の必要性の理解」, 「自分自身の洗い残し部位の確認」ができたとしていた. 考察 : 本手指衛生教育は, 看護師の手指衛生に対する重要性の認識を高めることが示唆された.

著者

友松 伸允 町田 奈美 中久木 康一 佐藤 豊 山城 正司 原田 清

出版者

社団法人 日本口腔外科学会

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.60, no.3, pp.142-146, 2014-03-20 (Released:2015-05-19)

参考文献数

12

被引用文献数

1

---

Amyotrophic lateral sclerosis (ALS) is an incurable, progressive, and neurodegenerative disease specifically affecting both upper and lower motor neurons. It induces dysphagia, reduction of respiratory function, and limb muscle weakness, leading to aspiration pneumonia and respiratory insufficiency. ALS can be detected at dental visits on the basis of early oral symptoms such as dysphagia. However, there are few reports describing ALS in dental journals. We describe a man aged 59 years who visited our department because of functional changes, including decreased swallowing ability. Imaging studies demonstrated no tumor lesions, but tongue fasciculations were present. Videofluorographic evaluation revealed incorrect swallowing (aspiration) and food remaining in the larynx. We consulted the department of neurology in our university hospital. Because needle electromyography and other examinations ruled out other possible diseases, the patient was given a diagnosis of ALS. We made a palatal augmentation prosthesis to maintain deglutition function and followed up oral function. Oral symptoms of ALS are sometimes observed in its early stage. Therefore, oral surgeons and dentists need to possess adequate knowledge about this disease.

著者

平川 善行 原田 清

出版者

公益社団法人 日本薬学会

雑誌

YAKUGAKU ZASSHI (ISSN:00316903)

巻号頁・発行日

vol.103, no.6, pp.690-695, 1983-06-25 (Released:2008-05-30)

参考文献数

5

被引用文献数

2 2

---

In the previous paper, a new technique for particle size reduction of oxolinic acid (OA), a slightly soluble model drug having an acidic group in a molecule, by the crystallization through the neutralization of its alkaline solution in the presence of certain surfactant or polymer was described. The wet sieving method by the use of polycarbonate membrane filter for the evaluation of size reduction effect was also described. Various factors affecting the size reduction of OA were investigated in this paper. The results obtained were as follows ; manners of participation in various factors affecting the size reduction varied with OA concentration at crystallization, and in the case of 5 w/v% OA concentration, the influences of addition rate of hydrochloric acid solution, stirring rate, reaction temperature and concentration of hydrochloric acid were relatively low. Size reduction effects of various surfactants and polymers were investigated. All of them were effective, though differences were recognized in the extent of size reduction. It has been found that the establishment of optimal conditions to obtain the finest particles is enabled and moreover, there is a possibility to prepare the particle that have an optional particle size by regulating the various factors.

著者

平川 善行 原田 清

出版者

公益社団法人 日本薬学会

雑誌

YAKUGAKU ZASSHI (ISSN:00316903)

巻号頁・発行日

vol.102, no.10, pp.951-959, 1982-10-25 (Released:2008-05-30)

参考文献数

26

---

When slightly soluble medicinal crystals are administered orally, their particle size is one of the important factors affecting the bioavailability. Therefore, it was attempted to develop a new technique of particle size reduction, in which the addition of surfactants or polymers at crystallization was examined. In order to evaluate the size reduction effect for oxolinic acid (OA), the wet sieving method was studied by the use of the polycarbonate memblane filter. This method consists of the following procedures : 1) sonication of suspension more than 10 min, 2) suction filtration of suspension after dilution, 3) measurement of the weight of the residue on each filter by the determination of OA, 4) plots of the cumulative weight of residues on a log-probability paper, followed by calculation of apparent geometric mean diameter on weight basis, 5) regulation of the volume of filtrate according to the particle size of microcrystallines. It was found that the new method studied enabled to evaluate the size reduction effect easily and accurately.

著者

原田 清

出版者

日本小児口腔外科学会

雑誌

小児口腔外科 (ISSN:09175261)

巻号頁・発行日

vol.19, no.2, pp.99-104, 2009-12-25 (Released:2013-01-26)

参考文献数

18

---

The bone grafting to the alveolar cleft was once performed during the primary cheiloplasty. However, it was pointed out that this primary(early)bone grafting to the alveolar cleft affected the growth of the middle face and maxilla. Then, this procedure has been popularly performed to induce the eruption of the upper lateral incisor or canine(secondary bone grafting to the alveolar cleft: SBG). The main purposes of the bone grafting to the alveolar cleft are closure of oro-nasal fistula and stabilization of the dental arch. However, the most significance of this procedure is to make space for the eruption of the upper canine. Therefore, the SBG is now established to be one of the important treatment strategies for the cleft lip and palate children. In this review, the purposes, optimal timing, surgical procedure, and postoperative management of the popular SBG are described for trainees of oral and maxillofacial surgery.

著者

宗像 源博 中野 佳央 新中 康史 樋口 雅俊 原田 清

出版者

Japanese Stomatological Society

雑誌

日本口腔科学会雜誌 (ISSN:00290297)

巻号頁・発行日

vol.59, no.3, pp.123-127, 2010-07-10

---

Endogenous bacterial endophtalmitis is a rare but serious condition. It occurs in the eyeball when bacteria cross the blood-ocular barrier. We report a case of endogenous bacterial endopthalmitis arising from severe periodontitis without any noticeable systemic anamnestic.<br>A 53-year-old man was referred to the ophthalmology department in our university hospital complaining of reduced visual acuity in the right eye. His visual acuity was hand movements right and 0.7 left eye, respectively. His right eye showed hypopyon, dense vitreous opacity and retinal hemorrhages. Because of a finding peculiar to infective endocarditis from an echocardiography, we diagnosed the patient with endogenous endophthalmitis that caused infective endocarditis. Although there was no infection impact on his general condition, <i>α-streptococcus</i> was detected in his blood culture examination. Therefore, he was referred to our clinic for oral examination and care. He was diagnosed with chronic periodontitis and severe resorption of alveolar bone and gum swelling by oral examination and X-rays. The <i>α-streptococcus</i> was detected in a bacterial examination of the exudate from the gingival pocket. Fourteen teeth with severe periodontitis were extracted. The visual acuity in the right eye increased up to 0.07 at 6 months after the teeth extraction.<br>Though bacteriological identification was not accomplished completely, the endogenous endophtalmitis in the present case seemed to be affected with mitral regurgitation and vegetation, following infective endocarditis by oral <i>Streptococci</i>.