著者

Shunsuke Yamada Kanako Yamada Hiroshi Nishida

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

vol.61, no.19, pp.2995, 2022-10-01 (Released:2022-10-01)

参考文献数

4

被引用文献数

3

著者

楠 幹江 山田 俊亮 Mikie Kusunoki Shunsuke Yamada

出版者

安田女子大学大学院

雑誌

安田女子大学大学院紀要 = The journal of the Graduate School, Yasuda Women's University (ISSN:24323772)

巻号頁・発行日

no.23, pp.171-182, 2018-03-31

---

衣・食・住などの生活は,生きる基本であり,幸せの基盤でもある。家政学はこの人間の生活を研究対象としており,生活の向上と人類の福祉を目的としている。「人類の福祉」の「福」「祉」は,共に幸せを意味する言葉であり,このため,家政学そのものを,幸せを追求する学問として捉えることができる。幸せとは何か?を検討する場合,健康をキーワードとすることは意味があることだと考える。ここでの健康は,WHO 憲章における内容を意味している。すなわち,「肉体的,精神的,社会的に完全に良好な状態である」ことが,健康の意味する内容である。したがって,衣・食・住それぞれの生活において,肉体的,精神的,社会的に良好な状態を維持することが,幸せな生活に繋がると考える。そのために,個人でできることは,家庭生活の営み行動を重視することである。

著者

Naoyuki Nakamura Yutaka Inaba Shinya Kato Takako Momose Shunsuke Yamada Yoko Matsuda Jiro Machida Yoichi Aota Tomoyuki Saito

出版者

The Japanese Society for Spine Surgery and Related Research

雑誌

Spine Surgery and Related Research (ISSN:2432261X)

巻号頁・発行日

vol.1, no.4, pp.185-190, 2017-10-20 (Released:2017-11-27)

参考文献数

15

被引用文献数

1 1

---

Introduction: This study aimed to assess treatment outcomes and caregivers' satisfaction regarding scoliosis surgery for handicapped children.Methods: Handicapped children are, by definition, noncommunicatory and/or nonambulatory. We recruited 26 handicapped children who were followed-up for >1 year after a scoliosis surgery. We recruited 40 patients with adolescent idiopathic scoliosis (AIS) who underwent a surgery during the same period as controls. We used a posterior approach in all the children. We determined preoperative body mass index (BMI), main Cobb angle, Cincinnati correction index (CCI), and fusion level; intraoperative time and blood loss per level; and postoperative complications. We also assessed caregivers' satisfaction with surgical treatments for these patients using the modified Bridwell's questionnaire.Results: We have described the results as handicapped children/AIS. Median preoperative BMI was 16.1/18.6 kg/m2. Preoperative and final Cobb angles were 94.2°/59.7° and 39.7°/17.0°, respectively and CCI was 2.0/1.7. The number of fusion levels was 14.6/9.0. The operative time and blood loss per level were 40.1/44.1 minutes and 264/138 ml, respectively. Postoperative complications in handicapped children were adynamic ileus in 8 cases, dysphagia in 5, pneumonia in 3, urinary tract infection in 2, and superior mesenteric artery syndrome (SMA), surgical site deep infection, infectious enteritis, agitation, and liver dysfunction in 1 each. However, in the AIS group, there was only 1 case of SMA. Median caregivers' satisfaction score on the 0-10 visual analog scale was 9. Caregivers for 19 of the 26 handicapped cases (73%) recommended surgical treatment to caregivers of other children with the same disease.Conclusions: Surgical treatment for neuromuscular and syndromic scoliosis was associated with a high rate of postoperative complications. However, the caregivers' satisfaction score after surgery was high.