著者
小澤 亘 濱嵜 愛夏
出版者
日本デジタル教科書学会
雑誌
日本デジタル教科書学会年次大会発表原稿集
巻号頁・発行日
vol.5, pp.97-98, 2016

<p>今まで、デジタル教科書論議においては、日本語学習で困難に直面する「外国にルーツを持つマイノリティ児童生徒」について注目されることはほとんどなかった。本ポスター報告は、こうした議論の死角にフォーカスする。立命館大学DAISY研究会(Rits-DAISY)は、昨年10月から今年3月まで、大阪市のある小学校をフィールドとして、週2回のペースで、1年生から5年生までの合計6名の外国人児童に対して、iPadを使用して放課後の学習支援教室を実施した。こうした支援実践に依拠して、外国にルーツを持つ児童生徒に対するICT学習支援の必要性と、日本社会が直面するマイノリティに向けたデジタル教科書政策に関わる課題を確認する。</p>

6 0 0 0 OA 井伊年譜 10巻

著者
功力君章子含 編
巻号頁・発行日
1000
著者
Aki Tabata Hiroki Yabe Yuya Mitake Tomohiro Shirai Marina Yoshida Rie Kurosu Ken Kawamura
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.20220040, 2022 (Released:2022-08-10)
参考文献数
31
被引用文献数
1

Background: Exercise therapy for patients with pediatric nephrotic syndrome is necessary to improve physical function to maintain the patient’s activities of daily life and school life while managing the risk of relapse; however, few studies have examined exercise therapy in the acute phase of the syndrome. This case study aimed to evaluate the efficacy and safety of exercise therapy in a patient with acute pediatric nephrotic syndrome being treated with steroids.Case: The patient was a 10-year-old boy diagnosed with primary nephrotic syndrome. Prednisolone (50 mg) was started on the 3rd day of hospitalization. Exercise therapy (moderate-intensity, 40 min, five times a week) was started on the 15th day. The urine protein/creatinine ratio from the 15th day (at the start of rehabilitation) to discharge decreased from 1.1  to 0.4, with no recurrence of nephrotic syndrome. At the initial, middle, and final evaluations, respectively, the grip strength was 10.1, 8.9, and 8.3 kg; the knee extension strength was 0.38, 0.46, and 0.45 kgf/kg; the sit-up test results were 18, 18, and 15 times; the side-step test results were 34, 36, and 31 times; the sit-and-reach test results were 22.9, 24.5, and 23.8 cm; and the 6-min walk test results were 420, 490, and 520 m. Leg muscle strength and exercise tolerance improved, but upper limb strength, trunk muscle strength, and agility decreased.Discussion: Moderate-intensity exercises may be effective and safe for pediatric patients with nephrotic syndrome in the acute phase. Exercise therapy may be beneficial to improve physical function and prevent decline during hospitalization in pediatric nephrotic syndrome patients.
著者
Minori Kurosaki Masahiko Tosaka Yoko Ibe Hironori Arii Junichi Tomono Masayuki Tazawa Tatsuya Shimizu Masanori Aihara Yuhei Yoshimoto Naoki Wada
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.20220039, 2022 (Released:2022-08-04)
参考文献数
27
被引用文献数
1

Objectives: Stroke patients with hemiplegia can sometimes achieve independent life at home or in light care facilities after rehabilitation. This study examined the outcomes of rehabilitation in stroke patients with severe hemiplegia.Methods: This study included 50 patients with Brunnstrom recovery stage I–II hemiplegia at the start of rehabilitation for stroke. Good outcome after rehabilitation was defined as independent life with functional independence measure (FIM) score of 100 or greater. Predictors for post-rehabilitation functional recovery were statistically analyzed.Results: FIM scores of 100 or greater in 12 of 50 patients (24%) allowed independent life after stroke rehabilitation. According to univariate analysis, factors associated with a FIM score of 100 or greater and good prognosis after rehabilitation were younger age (<70 years), paralysis caused by intracerebral hematoma (ICH), no cortical lesions, short time from admission to comprehensive inpatient rehabilitation (CIR) for stroke (within 1 month), and good status at the start of early rehabilitation and CIR. Eleven of the 12 patients with good prognosis (FIM ≥100) had ICH and a basal ganglia lesion with no cortical damage. Analysis of the location of lesions suggested that many patients with basal ganglia ICH lesions and little cortical involvement have good prognoses.Conclusions: Stroke patients with severe hemiplegia showed a slightly different distribution of lesions between ICH and cerebral ischemia. Cortical involvement may be a prognostic factor for outcome after rehabilitation in stroke patients with severe hemiplegia. More aggressive rehabilitation interventions may be important for patients with severe hemiplegia, especially without cortical involvement.
著者
Mayumi Matsuda Kuroda Nobuaki Iwasaki Kenichi Yoshikawa Ryoko Takeuchi Yuki Mataki Tomohiro Nakayama Junko Nakayama Haruka Ohguro Kayo Tokeji Hirotaka Mutsuzaki
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.20220050, 2022 (Released:2022-09-15)
参考文献数
29

Background: Constraint-induced movement therapy (CIMT) improves the motor function of paralyzed upper limbs of adults after stroke. However, in patients with severe spastic cerebral palsy (CP), the use of CIMT is not warranted. Our aim was to investigate the feasibility and effectiveness of repetitive voluntary-assisted upper limb training (VAUT) for three patients with severe CP using a combination of robotics [Hybrid Assistive Limb (HAL)] and functional electrical stimulation [Integrated Volitional Control Electrical Stimulation (IVES)].Case: Three patients with CP were enrolled. Patients 1, 2, and 3 were 8-, 19-, and 18-year-old males, respectively. Patient 1 had spastic hemiplegia, while patients 2 and 3 had spastic quadriplegia. VAUT using single-joint HAL was performed for 1 or 2 sessions/month for 50 min/session over an 8-month period for 9–13 sessions in total. One patient’s voluntary hand movement was insufficient, affecting his upper limb exercise performance; therefore, IVES was required in addition to HAL. Outcome measures included motor function of the upper limbs and use of paralyzed hands, which were measured before and after intervention. No adverse events were observed during VAUT. After intervention, the Action Research Arm Test scores showed improvements in all three patients. The Children’s Hand-use Experience Questionnaire showed improvements in two patients.Discussion: The use of VAUT, together with new systems such as HAL and IVES, for severe CP is safe and may be effective. Our study suggested that upper limb function can be improved for patients with severe CP.
著者
Yoichi Sato Noriaki Iino
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.20220057, 2022 (Released:2022-11-12)
参考文献数
21
被引用文献数
3

Objectives: Physical activity is an important prognostic factor in managing hemodialysis patients. During winter, physical activity decreases, which necessitates interventions to maintain physical function. This study investigated whether snow removal is an effective physical activity to maintain physical function in hemodialysis patients.Methods: This retrospective cohort study examined 32 patients (aged 68.9 ± 14.2 years, 21 men) who underwent hemodialysis at Uonuma Kikan Hospital from March 2021 to March 2022. The patients were divided into snow-remover and non-snow-remover groups. The primary outcome was the Short Physical Performance Battery (SPPB). Secondary outcomes were grip strength, skeletal muscle index, and physical activity level. Differences in outcomes between the groups were investigated at 1 year of follow-up.Results: The snow-remover group had significantly high SPPB score, grip strength (men), skeletal muscle index (men), and physical activity at baseline. The decline in SPPB after 1 year was significantly smaller in the snow-remover group than in the non-snow-remover group. The level of physical activity in the non-snow-remover group decreased over time.Conclusions: Snow removal contributed to the maintenance of physical function in hemodialysis patients after 1 year. However, snow removal is not recommended for all hemodialysis patients, and further studies should identify other safe winter activities to maintain physical function.

6 0 0 0 OA 秋田叢書

出版者
秋田叢書刊行会
巻号頁・発行日
vol.第2巻, 1933
著者
谷 和明
出版者
日本公民館学会
雑誌
日本公民館学会年報 (ISSN:1880439X)
巻号頁・発行日
vol.15, pp.6-17, 2018-12-10 (Released:2019-04-04)

Article 23 of the Social Education Act provides regulations restricting the activities of Kominkan. But in most Kominkan it has been applied to their users, i.e. citizens as well. Especially problematic is the abuse of the regulation that is spelled out in the first sentence of Paragraph 1, Item 2, which prohibits Kominkan from engaging in “activities connected to the interests of a specific political party”. This regulation has been interpreted as excluding all political activities from Kominkan and has infringed user’s human rights. That shows a fatal absurdity of applying regulations for public facilities to citizens whose human rights should be guaranteed.In this connection, I will focus on an attempt to eliminate this absurdity by giving a user-specific interpretation of the regulation, which allows political activities, instead of denying its application to users. This means adopting a de fact double standard. Because the strict interpretation on prohibiting political activities is still maintained and applied to Kominkan. I first verify the logic behind the application of this regulation by referring to a survey that was carried out in 18 cities in the Tokyo Tama area in order to determine the actual situation in local Kominkan. Then, by analyzing an administrative notice and the results of two court cases, I clarify the logical structure and the features of the double standards that are revealed. Finally, I consider the significance of this double standard.
著者
橋原 孝博 吉田 康成 吉田 雅行
出版者
日本バレーボール学会
雑誌
バレーボール研究 (ISSN:13449524)
巻号頁・発行日
vol.11, no.1, pp.12-18, 2009-05

本研究の目的は,2006年バレーボール男子世界選手権の撮影ビデオを自作のプログラムにより解析し,世界トップレベルの男子チームが使用している戦術プレーを明らかにして今後の指導資料を得ることであった。サーブレシーブは,全ローテーションを通じて,リベロと後衛レフトと前衛レフトの3選手が横一列の隊形を敷いてレシーブしている。ブラジルは,サーブレシーブ返球がアタックライン上からでもコンビネーション攻撃を仕掛けてくる。コンビネーション攻撃は,セッターが前衛でも後衛でもポジションに関係なく,クイック,パイプ攻撃,両サイドの平行トスの4人攻撃を行う。ブラジルのコンビ攻撃のトス最高値は,従来報告されている値よりもおよそボール2個半(約50cm)低く,攻撃時間がスピードアップしている。アタックレシーブは,クイックとパイプ攻撃に対しては後衛の3選手が扇形に隊形を敷いてレシーブし,サイド攻撃に対してはクロス方向の打球に備えた隊形でレシーブしている。トスが高く上げられた時は,前衛の3選手がブロックに跳ぶ。これらの戦術プレーの分析データと同一競技場面の動画をスクリーン上に表示して選手に観察させることは,相手対応の準備など効果的な指導方法の一つとして役立つと考えられる。The purpose of this study was to clarify the playing system used by the international-class men's volleyball teams that participated in 2006 Men's World Championships held in Hiroshima, and to provide the scouting information with coaching volleyball. Through all rotation, a libero player and backward left player and forward left player stand in a row and receive a serve. Team Brazil challenges combination, even if serve receive ball was on the attack line. Whether a setter is forward player or not, they attack with four players, one plays quick, the other plays pipe attack, others attack parallel sets from both side. The height of sets used Brazilian combination attack is two and a half balls lower than ever known, so their attack speed rose. About attack receive for quick and pipe attacks, three players receive with a fan-shaped formation. For side attacks, they prepare for the ball from cross attacks. With high sets, three forward players block a ball. It's useful for players to observe moving image which is the same as the scene used as a data to analyze their tactics. It's one of the effective way of coaching to prepare for dealing with an opponent.
著者
西村 富啓 河野 晴一 倉島 篤行 久保 博昭 小池 勇一
出版者
The Japanese Society of Clinical Pharmacology and Therapeutics
雑誌
臨床薬理 (ISSN:03881601)
巻号頁・発行日
vol.37, no.6, pp.353-357, 2006-11-30 (Released:2010-06-28)
参考文献数
23
被引用文献数
1 1

Rifampicin (RFP) is one of the first-line drugs in the treatment of tuberculosis. Worldwide, the recommended administration of RFP is before breakfast, however it is commonly administered after the meal in Japan. It is known that the absorption of RFP is affected by a meal. Therefore, the effects of meal on the pharmacokinetics of rifampicin were studied in patients with tuberculosis.Ten male patients participated in this study. Five of the ten patients were given three capsules (450mg of RFP) 30 minutes before breakfast. The other five patients were given the same dose of RFP 30 minutes after breakfast. The mean age and weight were 54.6±3.3 years and 53.9±2.7kg in the group before meal and in the after the meal group, 49.8±8.4 years and 53.8±5.0kg, respectively. All the data were expressed as mean±S.D. Blood samples were taken at 0, 2, 4 and 6 hours after capsule administration. RFP concentra tions in serum were analyzed by reversed-phase high performance liquid chromatography and the relevant pharmacokinetic parameters were calculated. Group means were compared by use of nonparametric statis tics.In the group before meal, the peak concentration (Cmax) was significantly higher than that in the group after meal (9.32±0.88μg/mL versus 5.76 ± 1.04 μg/mL, p<0.05) and the AUC was also significantly higher than that in the group after meal (35.83±3.29μg/hr/mL versus 18.63±4.35μg/hr/mL, p<0.05). These results suggest that RFP should be taken 30 minutes before the meal.

6 0 0 0 OA 大阪城物語

出版者
国勢協会
巻号頁・発行日
1931
著者
成田 徹男
雑誌
人間文化研究 (ISSN:13480308)
巻号頁・発行日
vol.19, pp.109-120, 2013-06-30

本稿では、「おぼうさん」「おてつだいさん」「おつかれさん」など、接頭辞「お~」および接尾辞「~さん」の両者をともなう、現代日本語の一群の語彙について、その意味用法を整理し、形態的なバリエーションの偏りなどを考察した。その結果、「固有名詞」の「人名」については、形態の変異が豊富であるのに対し、「固有名詞」の「神仏」については変異がとぼしくかなり一語化している、「親族呼称・親族関係」については「親族Ⅰ類」は形態の変異がかなりあるのに対して「親族Ⅱ類」は変異がとぼしくかなり一語化している、「職業・地位・性質」についてはかなり一語化している、「擬人化など」については、「おつきさま」「おつかれさま」のようにかなりかなり一語化しているものと、「おにんぎょうさん」のように、形態的変異があるものとがある、というように整理できた。
著者
羽田 匡宏
出版者
Japan Surgical Association
雑誌
日本臨床外科学会雑誌 (ISSN:13452843)
巻号頁・発行日
vol.67, no.8, pp.1768-1772, 2006-08-25 (Released:2009-01-22)
参考文献数
19
被引用文献数
1 1

症例は25歳,男性.下痢と咽頭痛にて当院内科を初診したところ,甲状腺腫大および甲状腺機能亢進を認めバセドウ病と診断された.抗甲状腺療法を施行したところ甲状腺機能は速やかに改善された.経過中に前縦隔腫瘍が指摘され, MRIにて胸腺腫が否定できないため手術目的に当科紹介となり,腫瘍摘出術を施行した.病理組織診断は胸腺過形成であった.バセドウ病に合併する胸腺過形成は古くから報告されているが,臨床現場ではあまり知られていない.最近では甲状腺機能を正常化することで保存的に胸腺の縮小が得られるとされている.しかし,胸腺腫が否定できない場合には摘出術も考慮すべきと考えられた.