著者
奥村 和子
出版者
日本語学会
雑誌
日本語の研究 (ISSN:13495119)
巻号頁・発行日
vol.12, no.3, pp.49-56, 2016-07-01 (Released:2017-03-03)
著者
甲斐村 美智子 久佐賀 眞理
出版者
一般社団法人 日本女性心身医学会
雑誌
女性心身医学 (ISSN:13452894)
巻号頁・発行日
vol.13, no.3, pp.143-152, 2008-11-30 (Released:2017-01-26)

本研究の目的は,月経用布ナプキンの反復使用が,女子学生の不定愁訴に及ぼす影響を明らかにすることである.布ナプキンの使用経験が無い19〜22歳の女子学生32名を対象に,平成19年1月〜7月の間布ナプキンを使用してもらい,介入前から終了まで2ヵ月毎に自記式アンケート(月経の経験,不定愁訴(MDQ・VAS),月経観,自尊感情,性の受容,ライフスタイル)を実施し,月経毎に月経記録,介入終了後にインタビューを実施した.分析方法は,不定愁訴の関連要因を重回帰分析で,介入前の状態を基準値とし,その後2ヵ月毎の不定愁訴・関連要因の変化,並びに不定愁訴改善群・非改善群の変化をt検定で分析した.介入前の不定愁訴に影響を及ぼす要因は性の受容,肯定的月経観であった.介入後の変化を見ると,布ナプキン使用2ヵ月後に月経観,4ヵ月後に月経痛,6ヵ月後に不定愁訴,自尊感情及び性の受容が改善した.最初に変化した月経観の詳細変化では,「厄介」「自然」「衰弱」という順で有意な改善を示した.この変化と記録・インタビューの時系列変化から,布の感触とナプキン洗濯時の月経血の観察が月経観を「厄介」から「自然」に変化させ,それが不定愁訴,関連要因の改善につながっていた.不定愁訴改善群と非改善群を比較すると,介入前のMDQ改善群は月経時の「痛み」「行動変化」,VAS改善群は月経前から続く「痛み」「負の感情」がより強いという特徴が見られた.以上より,布ナプキン使用は月経周辺期の不定愁訴の改善に有効で,使用を継続することで自尊感情や性の受容の改善にも役立つことが明らかとなった.また,不定愁訴改善群と非改善群の比較から,布ナプキン使用が有効に作用する対象は月経周辺期の痛み,負の感情,行動制限が強い人であった.
著者
Ryuta Nakashima Toru Hifumi Kenya Kawakita Tomoya Okazaki Satoshi Egawa Akihiko Inoue Ryutaro Seo Nobuhiro Inagaki Yasuhiro Kuroda
出版者
日本循環器学会
雑誌
Circulation Journal (ISSN:13469843)
巻号頁・発行日
vol.81, no.4, pp.427-439, 2017-03-24 (Released:2017-03-24)
参考文献数
133
被引用文献数
13

The discussion of neurocritical care management in post-cardiac arrest syndrome (PCAS) has generally focused on target values used for targeted temperature management (TTM). There has been less attention paid to target values for systemic and cerebral parameters to minimize secondary brain damage in PCAS. And the neurologic indications for TTM to produce a favorable neurologic outcome remain to be determined. Critical care management of PCAS patients is fundamental and essential for both cardiologists and general intensivists to improve neurologic outcome, because definitive therapy of PCAS includes both special management of the cause of cardiac arrest, such as coronary intervention to ischemic heart disease, and intensive management of the results of cardiac arrest, such as ventilation strategies to avoid brain ischemia. We reviewed the literature and the latest research about the following issues and propose practical care recommendations. Issues are (1) prediction of TTM candidate on admission, (2) cerebral blood flow and metabolism and target value of them, (3) seizure management using continuous electroencephalography, (4) target value of hemodynamic stabilization and its method, (5) management and analysis of respiration, (6) sedation and its monitoring, (7) shivering control and its monitoring, and (8) glucose management. We hope to establish standards of neurocritical care to optimize brain function and produce a favorable neurologic outcome.
著者
Yong- Soo Kong Yu- Mi Kim Je-myung Shim
出版者
理学療法科学学会
雑誌
Journal of Physical Therapy Science (ISSN:09155287)
巻号頁・発行日
vol.29, no.2, pp.328-331, 2017 (Released:2017-02-24)
参考文献数
22
被引用文献数
21

[Purpose] The purpose of this study was to evaluate the effect of modified cervical exercise and determine whether such exercise improves the range of motion of the cervical movement in smartphone users with forward head posture. [Subjects and Methods] Some 32 subjects with forward head posture participated in this study. They were randomly allocated to three groups, and the modified cervical exercises were performed either once, twice, or three times per day. The exercise program was followed for four weeks and then the joint range of motion of the participants was measured. [Results] A significantly increased range of motion was seen in all three groups that performed the modified cervical exercises. The analysis of the effects among the three groups indicated that the greatest effect was seen in Group C, members of which performed the modified exercises three times per day. In addition, a significant difference was found between Group A and Group C in terms of the inter-group results. [Conclusion] According to the results of this study, although the modified cervical exercises were performed for only a relatively short duration (four weeks), the exercises brought about an improvement in the forward head posture that was induced by using a smartphone.
著者
藤原 俊之 園田 茂 三田 しず子 岡島 康友 木村 彰男 千野 直一
出版者
社団法人 日本リハビリテーション医学会
雑誌
リハビリテーション医学 (ISSN:0034351X)
巻号頁・発行日
vol.38, no.4, pp.253-258, 2001-04-18 (Released:2009-10-28)
参考文献数
16
被引用文献数
4 5

Functional Assessment Measure (FAM)日本語版を外傷性脳損傷(TBI)患者に用い,Short Behavior Scale (SBS), Mini-Mental State Examination (MMSE), Disability Rating Scale (DRS)との比較を行った.またFAMを用いて,脳血管障害患者とのADL構造の比較を行った.FAM合計点とSBS,MMSE,DRS得点とは統計学的に.有意な相関を認めた.また項目別自立度の検討ではTBI群では特に脳血管障害(CVD)群と比較して,問題解決,記憶,見当識,注意,安全確認の項目での自立度が低く,いわゆる認知機能の障害がADLに強い影響を与えていることが客観的に明らかとなった.FAMはTBI患者の能力低下の評価法として有用と考えられた.
著者
近藤 敦 栗原 昭一 佐藤 紘子 石谷 邦彦
出版者
日本食生活学会
雑誌
日本食生活学会誌 (ISSN:13469770)
巻号頁・発行日
vol.14, no.3, pp.221-225, 2003-12-25 (Released:2011-01-31)
参考文献数
18
被引用文献数
1 3

An inhibitory effect on the increase in the postprandial blood glucose level was evaluated with a test soft drink containing indigestible dextrin (ID). After 27 healthy volunteers consisting of 14 males and 13 females were given the test soft drink supplemented with ID (6g as dietary fiber) together with a 537 kcal starchy diet, blood glucose levels were determined at 30, 60, and 120 minutes after meal. Additionally, after the same subjects were given a control soft drink without ID together with the same starchy diet, blood glucose levels were determined to compare inhibitory effect on the increase in postprandial blood levels in a cross over experimental design. Subjects were first divided into two groups with a peak blood glucose level at 30 minutes and 60 minutes after meal and they were further divided into two groups the higher and lower blood glucose levels. The effects were comparatively evaluated with the respective subjects between the test and control soft drink ingesting periods.As a result, a clear significant inhibitory effect of the soft drink supplemented with ID on the postprandial blood glucose level in 23 subjects who showed a peak blood glucose level at 30 minutes after diet and 12 subjects who were apt to elevate their blood sugar levels (the former at p<0.05 and the latter at p<0.01). However, no significant effect was observed in 11 subjects who were hard to elevate their blood glucose levels. It is accordingly become clear that the test soft drink supplemented with ID has the inhibitory effect on the postprandial blood glucose level in subjects who were apt to elevate their blood sugar levels. No clear evaluation was made with subjects who showed their peak blood glucose levels at 60 minutes after meal because of the small number of replications of this group.As shown above, as the test soft drink supplemented with ID showed an inhibitory effect on the postprandial blood glucose level in healthy volunteers who were apt to elevate their blood glucose levels and it did not cause side reactions such as hypoglycemia or digestive disorders, it is suggested that the soft drink with supplemented with ID may be of great use as a safe and simple tea beverage to reduce the high postprandial blood glucose levels.
著者
神馬 征峰
出版者
日本健康教育学会
雑誌
日本健康教育学会誌 (ISSN:13402560)
巻号頁・発行日
vol.21, no.3, pp.245-252, 2013 (Released:2014-09-05)
参考文献数
20

背景:1994年以降ポピュレーション・ヘルスの波が高まるにつれ,とりわけカナダではヘルスプロモーションが下火となり,ヘルスプロモーションの価値見直しの検討がなされてきた.注目すべき事項として,本稿では3つの課題をとりあげる.第1に「ヘルスのプロモーション」と「ヘルスプロモーション」の違い,第2にヘルスプロモーションにとって望ましいエビデンス,第3にヘルスプロモーションの発展過程についてである.内容:第1に,「ヘルスのプロモーション」とは,健康を増進しようと思っている人すべてにあてはまる共通な言説である.一方「ヘルスプロモーション」は「健康に影響を及ぼすライフスタイルや生活状態を計画的に変容させていく」ための専門分野ととらえるべきである.第2にエビデンスに関しては,プロミスィング・プラクティス(有望実践例)がより適切であるとの動きがある.有望実践例とは,「ベスト・プラクティスと称するほどには十分(科学的に)評価されていないかもしれないけれども,輝きに満ち(illuminating)かつ心をゆさぶる(inspiring)実践例」である.最後に,ヘルスプロモーションの発展プロセスとして,ツリー型(樹木型)に対して,ヘルスプロモーション活動があちこちから生じるリゾーム型(地下茎型)の発展がみられている.結論:公衆衛生分野においてヘルスプロモーションの定義をより専門的なものと捉え,有望実践例が,リゾーム型に発展していくプロセスに今後注目すべきである.
著者
Toshiya Matsuzaki Munkhsaikhan Munkhzaya Takeshi Iwasa Altankhuu Tungalagsuvd Kiyohito Yano Yiliyasi Mayila Rie Yanagihara Takako Tokui Takeshi Kato Akira Kuwahara Sumika Matsui Minoru Irahara
出版者
(社)日本内分泌学会
雑誌
Endocrine Journal (ISSN:09188959)
巻号頁・発行日
pp.EJ16-0501, (Released:2017-04-03)
被引用文献数
24

Polycystic ovary syndrome (PCOS) is an ovulatory disorder that affects 6-10% of women of reproductive age. Serum AMH level may be an additional factor, or surrogate of PCOM, in the diagnostic criteria of PCOS. We evaluated the correlations between the serum AMH level and various endocrine and metabolic features in PCOS using the latest fully automated assay. Serum AMH level was compared between 114 PCOS patient (PCOS group) and 95 normal menstrual cycle women (Control group). Correlations between serum AMH level and various endocrine and metabolic factors were analysed in PCOS group. The serum AMH level was significantly higher in the PCOS group (8.35±8.19 ng/mL) than in the Control group (4.99±3.23 ng/mL). The serum AMH level was independently affected by age and the presence of PCOS on multiple regression analysis. Ovarian volume per ovary (OPVO) showed the strongest positive correlation (r=0.62) with the serum AMH level among related factors. On receiver operating characteristic (ROC) curve analysis, the cut-off value of AMH for the diagnosis of PCOS was 7.33 ng/mL, but this value did not have high efficacy (sensitivity 44.7%, specificity 76.8%). A cut-off value of 10 ng/mL had a high specificity of 92.6%, although the sensitivity was low (24.6%). The serum AMH level was elevated and reflected ovarian size in PCOS patients. The serum AMH level could be a surrogate for ultrasound findings of the ovaries in PCOS and might be useful for estimating ovarian findings without transvaginal ultrasound in the diagnosis of PCOS.
著者
Kanchi Ito Yuki Osawa Kenta Kaneko Yutaka Kikuchi Masato Odagaki
出版者
一般社団法人日本生体医工学会
雑誌
Advanced Biomedical Engineering (ISSN:21875219)
巻号頁・発行日
vol.6, pp.42-47, 2017 (Released:2017-04-03)
参考文献数
10

Two different experiments utilizing the motor imagery of finger movement were conducted. We attempted to reveal the difference in corticospinal excitability between tonic contraction (TC) and rhythmic movement (RM) by transcranial magnetic stimulation (TMS). The magnetic coil was placed over the subject’s primary motor cortex to elicit motor-evoked potentials (MEPs) by TMS. We have previously shown that the MEP amplitude is modulated by the frequency of active and passive finger movements. We hypothesized that visual feedback affects the corticospinal excitability. In the present study, the subject observed both TCs and RMs, and the MEP amplitudes elicited by TMS during both tasks were analyzed to assess changes in corticospinal excitability influenced by the motor imagery. A mirror box was used to show the subject the finger movement executed by a third person as if it were his own finger movement. For the TC task, the third person performed a pinching task consisting of TC of the index finger and thumb. The subject received visual feedback of the TC in the mirror. For the RM task, the subject observed the mirror while the third person performed RM of the index finger until TMS was applied. The frequencies of finger movement were 0.5, 1, 2, 3, and 4 Hz. The resulting MEP amplitudes for the RM task at movement frequencies of 2, 3, and 4 Hz were significantly lower than that for the TC task. These results indicate that corticospinal excitability is increased by visual feedback of TC but is modulated by that of RM.
著者
J.N. SINHA B.P. JAJU R.C. SRIMAL
出版者
(社)日本薬理学会
雑誌
The Japanese Journal of Pharmacology (ISSN:00215198)
巻号頁・発行日
vol.16, no.3, pp.250-256, 1966-09-01 (Released:2007-02-02)
参考文献数
12
被引用文献数
1 1

Hafliger (1) synthesized a series of iminodibenzyl compounds which were found to possess antihistaminic, anticholinergic, sedative and analgesic properties. It was only after a clinical trial by Kuhn (2) that G 22355 (imipramine) “emerged as an antidepressant”. The exact mechanism of the antidepressant action of imipramine (IMI), its derivative desmethylimipramine (DMI) and its analogue amitriptyline (AMI) is not yet established. These agents have been shown to antagonise reserpine induced muscular rigidity and this effect has been attributed to their central cholinolytic activity (3, 4). Another structurally related antidepressant, orphenadrine, has been reported to possess both central (5) and peripheral (6) muscle relaxant properties. We have, earlier, reported the inhibition of myoneural transmissson by IMI, DMI and AMI (7). Prolonged inhibition of linguomandibular reflex by low doses of these agents as compared to short lived action of mephenesin (8) prompted us to find out if these agents fulfill all the criteria essential for a central muscle relaxant. Accordingly, these drugs were subjected to various test procedures like effect on behaviour, effect on polysynaptic linguomandibular reflex, effect on facilitatory influence of reticular formation on patellar reflex and the effect on decerebrate muscular rigidity in cat.
著者
森 朋子
出版者
日本教育工学会
雑誌
日本教育工学会論文誌 (ISSN:13498290)
巻号頁・発行日
vol.33, no.1, pp.31-40, 2009-07-20 (Released:2016-08-06)
参考文献数
30
被引用文献数
1

本研究では,初年次に導入される協調学習が学生に与える効果を検証し,その効果の質について検討を行い,知見を帰納的に抽出することを目的としている.多様な学習背景を持つ初年次の大学生が1つの授業を中心にした大学生活の中でどのような学びのダイナミックスを描くのか,入学時より1年間,エスノグラフィ調査を実施した.その結果,1年生前期には人間関係を新しく構築しようとする親和動機が協調学習環境の授業にも働き,社会的コミュニティが学習コミュニティとして有効に機能した.後期では学生個々の学生生活が豊かになるにつれて親和動機は低下し,学習本来への内発的動機づけの有無によってクラスがグループ化した.グループ化したことで協調学習における他者の位置づけおよびその効果の質にも差異が認められた.
著者
吉村 春美 中原 淳
出版者
日本教育工学会
雑誌
日本教育工学会論文誌 (ISSN:13498290)
巻号頁・発行日
vol.40, no.4, pp.277-289, 2017-02-20 (Released:2017-03-23)
参考文献数
32

本研究の目的は,学校の様々な課題に共通する学校改善を目指したミドルリーダーの行動プロセスを明らかにすることである.本研究では,小・中学校に勤務するミドルリーダー15名に対して半構造化インタビューを行い,M-GTA(木下 2003)を用いて分析を行った.分析の結果,学校改善を目指したミドルリーダーの行動プロセスとして,17の概念,6つのカテゴリーが生成され,概念間及びカテゴリー間の関係が図にまとめられた.また,ミドルリーダーから教員に対する「関係性の醸成」,校長に対する「実践のビジョンへの結合」という働きかけの重要性が示唆された.今後は,本研究知見をミドルリーダー育成の内容や方法に反映することが求められる.
著者
細見 正樹
出版者
経営行動科学学会
雑誌
経営行動科学 (ISSN:09145206)
巻号頁・発行日
vol.28, no.1, pp.19-38, 2015 (Released:2015-12-25)
参考文献数
53
被引用文献数
2

To examine the factors promoting employees' work-life balance (WLB), I focus on the psychological process of their middle managers. Specifically, I classify middle managers' attitudes toward their subordinates' WLB into two types: support for 1) family needs and 2) personal needs, and formulate hypotheses based on the job demands-resources model. The hypotheses were tested using survey data from 1,483 Japanese full-time middle managers. Consistent with our prediction, we found that job autonomy influences middle managers' supportive attitudes toward their subordinates' personal needs. On the other hand, assistance from immediate supervisors improves the middle managers' supportive attitudes toward their subordinates' family needs. Moreover, the middle managers' anticipation of negative effects caused by employer-sponsored WLB programs was found to mediate the latter relationship.
著者
高田 朝子
出版者
経営行動科学学会
雑誌
経営行動科学 (ISSN:09145206)
巻号頁・発行日
vol.26, no.3, pp.233-248, 2013 (Released:2014-08-01)
参考文献数
41

When many women no longer wish or try to seek any advancement or promotion, we thought we had to find out what exactly had changed the respective attitudes and had motivated those women who presently hold mid-managerial positions. In this study we conducted qualitative research at four regional banks. As a result, we were able to develop a prescriptive implication with regard to fostering a better working environment, in which women's feeling of self-efficacy can be readily generated, fostered and developed so that women can step forward to seek promotion. To achieve the goals mentioned, we learned that we need to keep the door open for women to create broad internal networks and, irrespective of gender, we also learned and pointed out the importance of on-the-job experience of people mingling with and working with persons of excellent caliber.