著者
今井 徹 吉田 善一
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.136, no.7, pp.967-972, 2016 (Released:2016-07-01)
参考文献数
7
被引用文献数
1

Emergency and critical care centers provide multidisciplinary therapy for critically ill patients by centralizing the expertise and technology of many medical professionals. Because the patients' conditions vary, different drug treatments are administered along with surgery. Therefore, the role of pharmacists is important. Critically ill patients who receive high-level invasive treatment undergo physiological changes differing from their normal condition along with variable therapeutic effects and pharmacokinetics. Pharmacists are responsible for recommending the appropriate drug therapy using their knowledge of pharmacology and pharmacokinetics. Further, pharmacists need to determine the general condition of patients by understanding vital signs, blood gas analysis results, etc. It is therefore necessary to conduct consultations with physicians and nurses. The knowledge required for emergency medical treatment is not provided during systematic training in pharmaceutical education, meaning that pharmacists acquire it in the clinical setting through trial and error. To disseminate the knowledge of emergency medical care to pharmacy students, emergency care training has been started in a few facilities. I believe that medical facilities and universities need to conduct joint educational sessions on emergency medical care. Moreover, compared with other medical fields, there are fewer studies on emergency medical care. Research-oriented pharmacists must resolve this issue. This review introduces the work conducted by pharmacists for clinical student education and clinical research at the Emergency and Critical Care Center of Nihon University Itabashi Hospital and discusses future prospects.
著者
Kohta Katayama Ryo Kumagai Momoko Isono Kazuya Fujihara Hiroaki Yagyu Gen Ohara Katsunori Kagohashi Hiroaki Satoh
出版者
一般社団法人 日本内科学会
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
vol.55, no.13, pp.1779-1782, 2016-07-01 (Released:2016-07-01)
参考文献数
14
被引用文献数
1 2

An 85-year-old woman with diabetes mellitus was admitted to our hospital due to progressive dyspnea. Two months previously, pioglitazone had been newly prescribed for diabetes management. Bilateral ground-glass opacities and progressive respiratory deterioration suggested respiratory failure due to a drug-induced lung injury. With discontinuation of pioglitazone and the administration of a corticosteroid, an improvement in her respiratory condition was achieved, although sequelae remained in some areas of the lungs. Results of drug-induced lymphocyte stimulation tests were positive for pioglitazone. Resumption of other drugs did not reinduce the lung injury. Therefore, a diagnosis of pioglitazone-induced lung injury was made. Although pioglitazone-induced lung injury is very rare, clinicians should keep it in mind when pioglitazone is used.
著者
渡辺 謹三
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.136, no.7, pp.933-937, 2016 (Released:2016-07-01)
参考文献数
2
被引用文献数
2

At the time of consultation with a patient regarding OTC drugs, a pharmacist goes through the following five steps. In Step 1 information is collected, including the patient's gender, age, health condition, living situation, etc. In Step 2, upon analyzing and evaluating this collected information, the pharmacist decides whether to recommend that the patient see a medical doctor or whether an OTC drug is sufficient. In Step 3, when an OTC drug is required, the pharmacist suggests the most suitable OTC drug. In Step 4, the pharmacist provides the patient recommendations and information about the selected OTC. In Step 5, sales record entry and aftercare are performed. In these five steps, the pharmacist is making a decision on whether the consultation recommendation is required or optional; the step of making an optimal selection of an OTC drug is distinct from prescription dispensing. In many cases, at the time of OTC drug consultation, since the patient is not consulting a medical doctor, a pharmacist becomes a “first access” health professional. In this instance, the advice of a pharmacist may have a great influence on a patient's prognosis regarding the particular health challenge. Therefore, pharmacists who perform patient consultations regarding OTC drugs are required to have broad medical knowledge and communication skills. The features of consultation and information dissemination about OTC drugs by a pharmacist, and the practice and study of this subject in present-day pharmaceutical education, are described herein.

5 0 0 0 OA 旅窓読本

著者
小杉放庵 著
出版者
学芸社
巻号頁・発行日
1936
著者
宮本 法子
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.136, no.7, pp.1001-1015, 2016 (Released:2016-07-01)
参考文献数
14
被引用文献数
1

Requirements for education on proper use of drugs were included in the junior high school educational guideline in 2012 incorporating pharmaceutical education in the obligatory school curriculum. This move is closely related to the country's new OTC drug marketing system. The amendment of the Pharmaceutical Affairs Law (PAL) in 2013 highlighted the public's own role in “promoting proper use of drugs and other related products and making greater efforts to acquire knowledge and improve understanding of their effective and safe use”. Furthermore, the Law to Amend the PAL and Pharmacists Law enforced in 2014 allowed all OTC drugs to be sold online under appropriate rules. Deregulation of online sale of OTC drugs is expected further to promote self-medication for minor illnesses and require stricter measures to ensure people's safety through their proper use. These legal amendments in recent years have made people's education about proper use of drugs one of the top priorities Japan should pursue at state level. Since 2000, the author has been offering education on drugs to early primary school children as part of their healthcare education program. In the future, dedicated education on drugs will be necessary for people of all ages including not only school children but also their guardians and elderly citizens as well.

5 0 0 0 OA 時勢と英雄

著者
久米邦武 著
出版者
広文堂書店
巻号頁・発行日
1915
著者
大田 美香 小田 剛 喜多 伸一 前田 英一 菅野 亜紀 高岡 裕
出版者
神戸常盤大学
雑誌
神戸常盤大学紀要 (ISSN:18845487)
巻号頁・発行日
no.9, pp.23-34, 2016-03-31

我が国では、緑内障や糖尿病性網膜色素変性症の罹病率の増大に伴い、弱視者の数が増加している。これらの中途視覚障害者の多くは中高年で残存視覚への依存が大きく、点字の習得が困難である。加えて、点字教育を担当する教師も減っており、これら中途視覚障害者の点字学習をより困難にしている。そこで我々は、残存視覚 (RV)のみを使用する画面によるプログラム、画面と点字ディスプレイ(BD)が協働するプログラム、画面と音声アシスト(BDV) が点字ディスプレイと協働するプログラム、の3種類のWebベースのe-ラーニングプログラムと基本API (Application Programming Interface) を研究開発した。
著者
大向 一輝
出版者
一般社団法人 情報科学技術協会
雑誌
情報の科学と技術 (ISSN:09133801)
巻号頁・発行日
vol.60, no.12, pp.495-500, 2010
参考文献数
11
被引用文献数
1

本論文では,学術情報サービスのメタデータ活用事例として,国立情報学研究所が運営する論文情報ナビゲータCiNiiにおいて,メタデータがどのように設計・提供されているかについて述べる。CiNiiのメタデータはウェブAPIとしての側面を重視し,OpenSearchやRDFなどのウェブ標準に基づいて設計されている。また,論文情報における著者名典拠が存在しない問題については,機械処理とユーザ参加による著者IDの自動生成を行っている。これらのメタデータは外部サービスとの連携や書誌情報の再利用のために用いられており,メタデータへのアクセスはCiNiiの総アクセス数の30%〜40%を記録するに至っている。
著者
柏野 邦夫 スミス ガビン 村瀬 洋
出版者
一般社団法人電子情報通信学会
雑誌
電子情報通信学会論文誌. D-II, 情報・システム, II-パターン処理 (ISSN:09151923)
巻号頁・発行日
vol.82, no.9, pp.1365-1373, 1999-09-25
参考文献数
12
被引用文献数
70

放送など長時間の音響信号中から,特定のテーマ曲やCMなど,目的音響信号の有無及び時刻を高速に探索する方法を提案する.従来の,スペクトルや波形のずらし照合に基づく探索では,長時間の音響信号を探索対象とした場合,計算量が膨大となるという問題があった.これに対し本論文で提案する方法では,スペクトル特徴のヒストグラムに基づいて探索を行うことにより,大幅に計算時間を短縮することができる.例えば,ワークステーションを用いた実験では,音響信号からあらかじめスペクトル特徴を抽出しておいた場合,6時間の音響信号から目的音響信号(15秒間)を所要約2.3秒で正しく探索できることがわかった.また,白色ガウス雑音の重畳に対しては,SN比20dBまで頑健であることがわかった.