著者
日本馬事會
出版者
日本馬事會
巻号頁・発行日
1942
著者
小樽新聞社[編]
出版者
小樽新聞社
巻号頁・発行日
1934
著者
若林 泰志
出版者
日本手話学会
雑誌
手話学研究 (ISSN:18843204)
巻号頁・発行日
vol.30, no.2, pp.61-64, 2021-12-28 (Released:2022-12-28)
参考文献数
3

問題の多い手話歌を、どうすれば改めることができるのかを提案する。
著者
Moemi Shimamura Yusuke Matsuyama Ayako Morita Takeo Fujiwara
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
vol.32, no.10, pp.464-468, 2022-10-05 (Released:2022-10-05)
参考文献数
34
被引用文献数
1 3

Background: Procrastination is associated with stress and unhealthy behaviors. The oral condition reflects the long-term history of an individual’s stress exposure and oral health behaviors; however, empirical studies on the association of procrastination in childhood with remaining teeth in older age are limited. We investigated the association of procrastination in childhood with the number of remaining teeth among community-dwelling older Japanese adults.Methods: In total, 1,616 community-dwelling senior residents of Wakuya City (Miyagi Prefecture, Japan) who were enrolled in the National Health Plan & the Medical Care System for the Elderly completed a self-administered questionnaire on the number of teeth. Procrastination was measured using a single binary question about timing of holiday homework completion in childhood. The number of remaining teeth was assessed via a questionnaire with response options of ≥20, 10–19, 1–9, and 0 teeth. Ordered logistic regression models with potential confounders (sex, age, maternal education, childhood socioeconomic status [SES], childhood maltreatment, conscientiousness trait) and mediators (adulthood SES, smoking history, alcohol use history) were estimated.Results: Forty-six percent of participants reported a higher tendency to procrastinate in childhood. The proportions of participants with ≥20, 10–19, 1–9, and 0 teeth were 39.6%, 22.7%, 24.0%, and 13.7%, respectively. After adjusting for all covariates, a higher tendency to procrastinate in childhood was significantly associated with having fewer remaining teeth (odds ratio 1.28; 95% confidence interval, 1.05–1.57).Conclusion: A higher tendency to procrastinate in childhood was associated with having fewer remaining teeth in later life.
著者
伊富貴 初美
出版者
日本赤十字看護学会
雑誌
日本赤十字看護学会誌 (ISSN:13461346)
巻号頁・発行日
vol.21, no.1, pp.64-73, 2021-03-31 (Released:2021-03-31)
参考文献数
10

本研究の目的は日本の地域医療に米国のNurse Practitioner(以下,NPとする)と特定行為研修修了者を導入した場合の診察料シミュレーションを行うこと,また訪問看護師へのインタビューを通じて日本の地域医療の課題とNP導入によって期待される効果を明らかにすることである.病院併設のX訪問看護ステーションを利用している69名の訪問看護記録と受診記録のデータを用いて診察料シミュレーションを行った結果,NP導入により平均して介護保険で29%,医療保険で21%,特定行為研修修了者導入により介護保険で2%,医療保険で5%の削減効果が確認できた.また,同施設に所属する訪問看護師3名に対するインタビューを通じて,医師の指示の範囲でしか対応できないことなど課題を感じており,NPなどの高度実践者の導入により在宅医療におけるコーディネートとして活動するなどの効果が期待されていることが明らかになった.
著者
Atsushi Watanabe Shigeki Yoneyama Mikio Nakajima Norihiro Sato Ryoko Takao-Kawabata Yukihiro Isogai Aki Sakurai-Tanikawa Kazuhiro Higuchi Akihito Shimoi Hideyuki Yamatoya Kenji Yoshida Terutomo Kohira
出版者
The Japanese Society of Toxicology
雑誌
The Journal of Toxicological Sciences (ISSN:03881350)
巻号頁・発行日
vol.37, no.3, pp.617-629, 2012-06-01 (Released:2012-06-01)
参考文献数
14
被引用文献数
57 69

Teriparatide, a therapeutic agent for osteoporosis, has been reported to increase the incidences of bone neoplasms such as osteosarcoma when administered subcutaneously to Fischer 344 (F344) rats for a long term, but its non-carcinogenic dose level following 2-year daily administration has not been established. Here we report detailed studies on the carcinogenicity of teriparatide following long-term administration. When teriparatide was administered subcutaneously to male and female Sprague-Dawley (SD) rats daily for 2 years, the incidence of osteosarcoma was increased at 13.6 μg/kg/day. The non-carcinogenic dose level was 4.5 μg/kg/day for both males and females. The development of osteosarcoma in SD rats depends on the dose level of, and treatment duration with, teriparatide. Responses of the bones to teriparatide were similar between F344 and SD rats in many aspects. These results suggested that the carcinogenic potential of teriparatide in SD rats is essentially the same as in F344 rats.
著者
Asako Kaneoka Rumi Ueha Miki Nagatomo Akiko Matsunaga Shigeko Umezaki Haruhi Inokuchi Toru Ogata
出版者
The Japanese Association of Rehabilitation Medicine
雑誌
Progress in Rehabilitation Medicine (ISSN:24321354)
巻号頁・発行日
vol.7, pp.20220064, 2022 (Released:2022-12-23)
参考文献数
27
被引用文献数
1

Background: To prevent aspiration, patients with irreversible dysphagia may undergo surgeries that separate the esophagus and trachea. Such interventions result in loss of vocal function and require alternative communication methods. We report a patient with amyotrophic lateral sclerosis (ALS) who used esophageal speech after receiving a central-part laryngectomy (CPL) to prevent aspiration.Case: A 64-year-old woman with ALS was admitted to our hospital. The patient maintained good cognitive and oral function and presented with mild dysarthria and dysphagia. Faced with rapidly worsening respiratory distress, saliva aspiration, and excessive sputum, she underwent a tracheostomy on the premise of invasive ventilation. Subsequently, the patient began using a voice-generating application for communication. Given the patient’s sincere hope to prevent aspiration and aspiration pneumonia, achieve safe oral intake, and decrease caregiver burden for frequent suctioning, the patient underwent a CPL. Following surgery, belching was observed during meals, and the patient could phonate when she belched. This finding led to four speech therapy sessions to practice esophageal speech, allowing the patient to use the pseudo-speech technique for short conversations. Removal of the entire cricoid cartilage in the CPL decreases the upper esophageal sphincter (UES) pressure, thereby allowing air to easily pass through the UES. Therefore, the patient could use the air as a sound source for esophageal speech without extensive training.Discussion: Esophageal speech may be an alternative to oral communication in patients undergoing CPL. Further research is warranted to generalize these findings to patients undergoing CPL.

1 0 0 0 大乘

著者
大乗刊行会
出版者
大乗刊行会
巻号頁・発行日
1954

1 0 0 0 新聞研究

著者
日本新聞協会 [編]
出版者
[日本新聞協会]
巻号頁・発行日
1947
著者
Ping Li Mingjia Yang Dong Hang Yongyue Wei Hongling Di Hongbing Shen Zhihong Liu
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
vol.32, no.10, pp.449-455, 2022-10-05 (Released:2022-10-05)
参考文献数
40
被引用文献数
1

Background: Chronic kidney disease (CKD) is an important contributor to morbidity and mortality from noncommunicable diseases. We aimed to examine the longitudinal trajectories in risk factors, estimate their impact on CKD burden in China from 1991 to 2011, and project trends in the next 20 years.Methods: We used data from a cohort of the China Health and Nutrition Survey and applied the comparative risk assessment method to estimate the number of CKD events attributable to all non-optimal levels of each risk factors.Results: In 2011, current smoking was the leading individual attributable factor for CKD burden in China responsible for 7.9 (95% confidence interval [CI], 7.5–8.3) million CKD cases with a population-attributable fraction of 8.7% (95% CI, 6.0–11.6), while the rates of smoking have reduced and may have mitigated the increase in CKD. High triglyceride (TG) and high systolic blood pressure (SBP) were the leading metabolic risk factors responsible for 6.8 (95% CI, 6.4–7.1) million and 5.8 (95% CI, 5.5–6.1) million CKD-attributable cases, respectively. Additionally, the number of CKD cases associated with high body mass index (BMI), high diastolic blood pressure (DBP), high plasma glucose, and low high-density lipoprotein cholesterol (HDL-C) was 5.4 (95% CI, 5.1–5.6), 3.9 (95% CI, 3.7–4.1), 3.0 (95% CI, 2.8–3.1) and 2.6 (95% CI, 2.5–2.8) million, respectively.Conclusion: Current smoking, high TG, and high SBP were the top three risk factors that contributed to CKD burden in China. Increased BMI, DBP, plasma glucose, and decreased HDL-C were also associated with the increase in CKD burden.
著者
村主 道雄
出版者
公益社団法人 全日本鍼灸学会
雑誌
自律神経雑誌 (ISSN:03870952)
巻号頁・発行日
vol.23, no.2-3, pp.119-121, 1976-09-01 (Released:2011-05-30)
参考文献数
7
著者
大沢 正秀 李 康彦
出版者
一般社団法人 日本東洋医学会
雑誌
日本東洋医学雑誌 (ISSN:02874857)
巻号頁・発行日
vol.60, no.3, pp.357-363, 2009 (Released:2009-08-12)
参考文献数
11

同一患者において複数の臓腑経絡が関与する頭痛が生じ,それぞれの頭痛の特徴,増悪因子,緩解因子が異なる一例を経験した。症例は40歳女性。(1)後頭部痛(足少陰腎経が関与)。(2)両側頭部から目,耳の奥にかけての痛み(陽明,少陽経が関与)。弁証論治により,腎陽虚水泛,肝気上逆と弁証し,温陽利水と疏肝降気による活絡目的で,真武湯を処方。いずれの頭痛も軽減,消失した。病因病機では本たる証を腎陽虚,標の証として肝気上逆を考えた。真武湯は標治法としても本治法としても効果的であったと考えられた。