3 0 0 0 OA 教育工学

著者
坂元 昂
出版者
一般社団法人 日本教育学会
雑誌
教育学研究 (ISSN:03873161)
巻号頁・発行日
vol.59, no.3, pp.407-409, 1992-09-30 (Released:2009-01-13)
参考文献数
5
著者
田先 威知夫 安保 庄一郎 齋藤 道雄
出版者
公益社団法人 日本畜産学会
雑誌
日本畜産学会報 (ISSN:1346907X)
巻号頁・発行日
vol.19, no.1-4, pp.137-139, 1949-03-01 (Released:2008-03-10)
参考文献数
6

(1) 落葉の榮養價値を知の爲,乳用山羊2頭を用ひて消化試驗を行ひ,消化率に於て粗蛋白22.0%,粗脂肪34.2%,粗纎維7.6%,可溶性無窒素物40.8%,又澱粉價に於ては13.0を得た。(2) 落葉中にタンニン9.4%含有する事を知つた。(3) 落葉給與の泌乳中山羊に及ぼす影響を見ると,飼料攝取量,飲水量,體重,泌乳量,乳脂量共に著しく減少する事を知つた。(4) 緬羊に於ても體重減少し,且當時生長した羊はatrophyする事が認められた。(5) 以上の事實より,褐變落葉した樹葉は,山羊或は緬羊の嗜好に適せず,消化も不良であつて飼料としての價値は少いものと思はれる。
著者
Tomomi KIMURA Toshifumi SUGITANI Takuya NISHIMURA Masanori ITO
出版者
Japanese Society for Pharmacoepidemiology
雑誌
薬剤疫学 (ISSN:13420445)
巻号頁・発行日
vol.24, no.2, pp.53-64, 2019-08-27 (Released:2019-10-07)
参考文献数
25
被引用文献数
15 14

Objective: The Charlson and Elixhauser comorbidity indices (CCI and ECI, respectively) are widely used to study comorbid conditions but these indices have not been validated in Japanese datasets. In this study, our objective was to validate and recalibrate CCI and ECI in a Japanese insurance claims database.Methods: All hospitalizations for patients aged≥18 years discharged between January 2011 and December 2016 were randomly allocated to derivation and validation cohorts. Predictability for hospital death and re-admission was evaluated using C statistics from multivariable logistic regression models including age, sex, and individual CCI/ECI conditions at admission month or the derived score in the derivation cohort. After stepwise variable selection, weighted risk scores for each condition were re-assigned using odds ratios (CCI) or beta coefficients (ECI). The modified models were evaluated in the validation cohort.Results: The original CCI/ECI had good discriminatory power for hospital death: C statistics (95% confidence interval) for individual comorbidities and score models were 0.845 (0.835-0.855) and 0.823 (0.813-0.834) for CCI, and 0.839 (0.828-0.850) and 0.801 (0.790-0.812) for ECI, respectively. Modified CCI and ECI had reduced numbers of comorbidities (17 to 10 and 30 to 21, respectively) but maintained comparable discriminatory abilities: C statistics for modified individual comorbidities and score models were 0.843 (0.833-0.854) and 0.838 (0.827-0.848) for CCI, and 0.840 (0.828-0.852) and 0.839 (0.827-0.851) for ECI, respectively.Conclusions: The original and modified models showed comparable discriminatory abilities and both can be used in future studies using insurance claims databases.
出版者
東海国立大学機構 名古屋大学大学院法学研究科
雑誌
名古屋大学法政論集 (ISSN:04395905)
巻号頁・発行日
vol.300, pp.300.1, 2023 (Released:2023-12-22)

一 はじめに 二 新規事業分野開拓会社-1997 年改正銀行法および1998 年改正銀行法 三 事業再生会社-2008 年改正銀行法 四 新たな事業再生会社-2013 年改正銀行法 五 新たな事業再生会社の見直し-2019 年改正銀行法施行規則 六 地域活性化事業会社および持続可能社会構築会社-2021 年改正銀行法 七 検討
著者
Tomohiro Kakehi Masashi Zenta Takuya Ishimori Naoki Tamura Hiromu Wada Masahiko Bessho Wataru Kakuda
出版者
The Japanese Association of Rehabilitation Medicine
雑誌
Progress in Rehabilitation Medicine (ISSN:24321354)
巻号頁・発行日
vol.8, pp.20230046, 2023 (Released:2023-12-29)
参考文献数
44

Objectives: To evaluate caregivers’ fear of post-fracture patients falling, we previously developed the Caregivers’ Fear of Falling Index (CFFI). In this study, we investigated the relationship between patient performance in activities of daily living (ADLs) and CFFI.Methods: We surveyed 55 patients receiving home-visit rehabilitation after fall-related fracture and their primary caregivers. Participants (patient and caregiver pair) were divided into two groups based on patient performance in basic ADLs (BADLs) and instrumental ADLs (IADLs). ROC analysis was conducted to assess the usefulness of CFFI and Falls Efficacy Scale-International (FES-I) in determining declines in performance in BADLs and IADLs. Multivariate logistic regression analysis was performed to examine the association between CFFI and declining performance in BADLs and IADLs.Results: ROC analysis showed that CFFI exhibited a higher accuracy than FES-I (AUC: 0.73 in BADLs, 0.77 in IADLs) as an indicator of reduced ADL performance. Multivariate logistic analysis adjusted for age, sex, and physical function showed that CFFI was associated with a decline in patients’ performance in IADLs (odds ratio, 0.92; 95% confidence interval, 0.85–0.99).Conclusions: Caregivers’ fear of post-fracture patients falling was associated with a decline in patients’ performance in IADLs. These findings may serve as a guide for supporting caregivers of post-fracture patients.
著者
Takashi Asakawa Mieko Ogino Naomi Tominaga Naoto Ozaki Jin Kubo Wataru Kakuda
出版者
The Japanese Association of Rehabilitation Medicine
雑誌
Progress in Rehabilitation Medicine (ISSN:24321354)
巻号頁・発行日
vol.8, pp.20230035, 2023 (Released:2023-10-03)
参考文献数
32

Objectives: One of the causes of death in patients with multiple system atrophy (MSA) is aspiration pneumonia caused by cough dysfunction. This study aimed to identify an effective approach to improve coughing and to explore the establishment of criteria for the use of gastrostomy based on cough and respiratory dysfunctions.Methods: Eighteen probable MSA patients participated in the study. They were categorized into air stacking and non-air stacking groups. First, we investigated how the inspiration volume changes by applying maximum insufflation capacity (MIC). Second, peak cough flow (PCF) was measured by different cough augmentation methods: 1) spontaneous coughing (SpC); 2) SpC with MIC (SpC + MIC); 3) SpC with manually assisted cough (MAC) (SpC + MAC); and 4) SpC with MIC and MAC (SpC + MIC + MAC). Among these four conditions, PCF values were compared to determine the most effective approach for cough augmentation. Receiver operating characteristic analysis was performed on percent forced vital capacity (%FVC) to determine an index for discriminating PCF below160 L/min, which indicates a high risk of suffocation, involving SpC and SpC + MIC.Results: Inspiration volume increased significantly with MIC in both groups (P < 0.05), and PCF increased significantly with MIC in the air stacking group (P < 0.01). PCF could not be maintained at 160 L/min when %FVC fell below 59%, even when MIC was applied.Conclusions: PCF increases with MIC in patients with MSA. It may be meaningful to consider the timing of gastrostomy introduction based on the severity of cough and respiratory dysfunction.