著者
Takako Nagai Hidetaka Wakabayashi Shinta Nishioka Ryo Momosaki
出版者
THE JAPANESE ASSOCIATION OF RURAL MEDICINE
雑誌
Journal of Rural Medicine (ISSN:1880487X)
巻号頁・発行日
vol.18, no.1, pp.21-27, 2023 (Released:2023-01-06)
参考文献数
33
被引用文献数
1

Objective: Dysphagia rehabilitation is an important area in geriatric nutrition due to the commonality of sarcopenic dysphagia in older adults. However, there have been no reports on the efficacy of treatment by board-certified physiatrists (BCP) in patients with sarcopenic dysphagia. This study therefore aimed to investigate whether intervention by board-certified physiatrists affects the functional prognosis of patients with sarcopenic dysphagia.Materials and Methods: Of 467 patients enrolled in the Japanese Sarcopenic Dysphagia database between November 2019 and March 2021, 433 met the study eligibility criteria. The patients were divided into two groups based on whether or not they received intervention by a BCP. The clinical characteristics and outcomes of the two groups were compared. Statistical analyses were performed by inverse probability weighting (IPW).Results: BCPs were involved in the management of 57.0% of patients with sarcopenic dysphagia. These patients had a significantly higher increase in the Barthel index both before and after IPW correction than those not managed by a BCP (P=0.001 and P=0.016, respectively). However, sarcopenic dysphagia significantly improved in the non-BCP group before IPW correction (P<0.001), although there was no significant difference after IPW correction (P=0.301).Conclusion: BCP management was significantly associated with higher activities of daily living (ADL), but not with an improvement in sarcopenic dysphagia. To provide and manage effective rehabilitation, it is necessary to familiarize patients with the management and training of sarcopenic dysphagia rehabilitation for BCP in order to cope in regions with few rehabilitation units.

2 0 0 0 人事興信録

著者
人事興信所 編
出版者
人事興信所
巻号頁・発行日
vol.第17版 上, 1953
著者
斉藤 賢爾 中村 俊介 黒澤 伸一郎 緒方 大輔 南 政樹
出版者
一般社団法人 人工知能学会
雑誌
人工知能学会全国大会論文集
巻号頁・発行日
vol.2012, pp.1P2OS9a8, 2012

<p>「アカデミーキャンプ」は、東日本大震災や福島第一原子力発電所事故の影響を受け、心身ともにストレスを受けて生活している福島県の小中学生を対象に、静岡県御殿場市にて実施しているキャンプ型の遊びと学びのプログラムである。この報告では、2011年夏および2012年冬に実施したキャンプを通して、参加したこどもたちのみならず、ボランティアとして参加した大学生等に生じた心的・行動的変化を述べ、評価を試みる。</p>

2 0 0 0 OA 日本史蹟大系

著者
熊田葦城 著
出版者
平凡社
巻号頁・発行日
vol.第9巻, 1936
著者
北畑 裕子 岡田 知善 鈴木 啓之
出版者
医学書院
雑誌
臨床皮膚科 (ISSN:00214973)
巻号頁・発行日
vol.61, no.2, pp.132-134, 2007-02-01

要約 53歳,女性.モモ,梅,グレープフルーツの摂食でアレルギー歴がある.黒酢に漬けた梅を摂食した直後より,全身に膨疹が出現し,次いで呼吸困難と血圧低下もみられ当科を受診した.サクシゾン®の点滴と酸素投与で症状は速やかに消退した.IgE RASTではリンゴ,オレンジ,シラカンバ,ヒノキが陽性であった.プリックテストでは梅(黒酢漬け),梅干,モモ,リンゴ,オレンジで陽性であった.黒酢は陰性であった.既往に梅以外のバラ科の果実でもoral allergy syndrome (OAS)を生じており,花粉症もあるため両者の共通抗原により生じたOASと考え,検討した.
著者
森脇 昭介 宇佐美 孝子 山本 陽子 山内 政之 村上 和重
出版者
公益社団法人 日本臨床細胞学会
雑誌
日本臨床細胞学会雑誌 (ISSN:03871193)
巻号頁・発行日
vol.15, no.2, pp.83-96, 1976 (Released:2010-10-21)
参考文献数
69

The multinucleated giant cells (MNGC) were revie wed from various viewpoint and were examined cyto diagnostic significance.1. The definition of MNGC give normal cells-me gakaryocytes, osteoclasts, placental syncytial cells-, and above two nuclei and over twice as large as normal cells.2. The formation of MNGC were classified into two groups of syncytium-the fusion of the cells-, and plasmodium-ivision of the nuclei without cyto plasmic division.3. The etiologic classification of MNGC were as follows: In normal tissue, the physiologic MNGC revealed the above cells.The pathologic MNGC origi nated in various conditions-infectious granulation, metabolic and neoplastic lesions.4. The histologic classification were as follows: The epithelial MNGC were included placental syncytial cells, virus infected cells and neoplastic cells. And the others nonepithelial origin were found of histiocytes (macrophages), mesothelial, blood component and other mesencymal cells of numerous conditionsforeign body giant cells, Langhans', Sternberg's giant cell, et al.5. The relation between various lesions of MNGC, and diagnostic value of MNGC were differe from diseases. Specially, Langhans'cells, herpes infected cells, foreign body giant cells, and a few neoplastic cells were diagnostic value. Mostly neoplastic MNGC were nonspecific anaplastic atypical features.6. It is difficult that the cytologic identification of MNGC were differ from various giant cells. There fore, it is necessary that differentiation of allid MNGC is with reference to histopathologic, clinical features and laboratory data colectively.
出版者
お茶の水地理学会
雑誌
お茶の水地理 (ISSN:02888726)
巻号頁・発行日
no.23, pp.49, 1982-04-30

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著者
宗林 留美
出版者
静岡大学
雑誌
若手研究(B)
巻号頁・発行日
2007

海洋の200m 以深、すなわち中層以深は光合成生物にとって生存に必要な光が届かないにも関わらず、本研究により駿河湾と太平洋亜熱帯域の200m〜2000m で微細な光合成生物であるピコ植物プランクトンが深度によらず一定に分布していることが明らかになった。中層以深のピコ植物プランクトンは表層から海底までの水柱全体に対して、春の駿河湾では26〜69%を占めたが、夏の駿河湾と亜熱帯では0.7〜10%に留まり、ピコ植物プランクトンが沈降粒子に付着して中層に輸送されている可能性が示された。
著者
岩崎 雄介 奥村 真美 松本 仁見 安藤 千夏 亀井 淳三
出版者
The Japan Society for Analytical Chemistry
雑誌
分析化学 (ISSN:05251931)
巻号頁・発行日
vol.70, no.10.11, pp.573-581, 2021-10-05 (Released:2021-12-06)
参考文献数
38
被引用文献数
1

食品には,さまざまな機能性をもった化合物が多く含まれている.そのため,疾病の予防や症状の緩和に寄与する目的として,機能性を付与した食品が多く開発されている.化学物質や食品成分は,無毒性量(NOAEL)や許容一日摂取量(ADI)が設定され,さらに,医薬品は,開発段階において他の物質との相互作用についても詳しく調査されている.しかし,食品成分については,さまざまな成分が含まれているため,単体の安全性は確保されていても,相互作用については,すべてを検証し評価することは困難なものとなっている.そこで本稿では,食品に含まれる抗酸化物質に注目し,相互作用によって生じる活性酸素種及び活性窒素種について紹介する.
著者
渡辺 真言
出版者
The Japanese Society for Hygiene
雑誌
日本衛生学雑誌 (ISSN:00215082)
巻号頁・発行日
vol.25, no.6, pp.512-525, 1971-02-28 (Released:2009-03-31)
参考文献数
50

There was a relatively high incidence of group O persons among those affected by influenza A2 infection as previously reported by McDonald and Zuckermann. However, experimental proof of their statistical survey has not been obtained. The object of this study was to show the participation of ABO blood group substance and its antibody in influenza A2 infection.(1) Blood group substances of egg grown influenza viruses were studied by means of the agglutinin-inhibition test and the elution test. Concentrated, washed and methanol treated suspension of influenza viruses did not inhibit the activities of anti-A, anti-B and anti-H agglutinins. The elution test was then carried out by means of using the virus particles adhered on paper strips. The strips were sensitized with sufficient amounts of anti-A (human), anti-B (human) or anti-H (Ulex europaeus) at a low temperature, and washed with chilled normal saline. Excessively bound agglutinins were then liberated from the strips by heating up to 50°C for 20min. The presence of only anti-H agglutinin was proved in thus obtained eluates. This result indicates the content of blood group H substance in influenza A2 virus. The H substance in influenza B virus was also certified by this test method, but its quantity was assumed to be less than that of A2. For the purpose of assuring the H substance, chickens were immunized with concentrated influenza A2 (Hongkong) virus with incomplete Freund's adjuvant. In the sera of 3 out of 5 chickens, a relatively weak complete anti-H and Eisler's agglutinin were determined to have been produced.(2) After the cessation of influenza A2 (Hongkong) epidemic in 1969, 455 individuals' adult human blood samples were collected to determine blood groups, the presence or absence of complete anti-H agglutinin and the titer of hemagglutination inhibition (HI) titer for A2 (Hongkong) virus.Results obtained were:1) No correlation was found between the range of HI titer and the classification of blood groups, ABO, MN, P, Rh and Lewis.2) Incidence of complete anti-H agglutinin in influenza vaccine recipients' and non-recipients' sera were very similar.3) Incidence of complete anti-H agglutinin and HI titer in the sera of influenza A2 (Hongkong) vaccine non-recipients was compared. Frequency of the sera showing HI titer of 1:4 or higher were less in the group of anti-H positive group relative to the anti-H negative group. X2 test of the result, however, showed no significant difference. (Probability≈0.1)(3) Based on the results of the present study, it was assumed that the anti-H agglutinin in nasal or tracheal secretions of group A, B and AB persons could adhere to H substance of influenza A2 virus to inhibit its growth.
著者
五島 史行 矢部 はる奈
出版者
The Japan Society of Logopedics and Phoniatrics
雑誌
音声言語医学 (ISSN:00302813)
巻号頁・発行日
vol.49, no.4, pp.273-276, 2008-10-20 (Released:2010-06-22)
参考文献数
5
被引用文献数
2 1

難聴を一定期間放置すると語音明瞭度が低下することは長期間の難聴に伴う聴取能の剥離として知られている.高齢者の補聴器装用者の問題は語音明瞭度の低下によるものが多い.近年, 言語聴覚士の積極的介入を軸とした補聴器フィッティング, 装用訓練を導入し補聴器装用訓練が奏功する可能性が報告された.言語聴覚士を積極的に活用できる医療施設等は限定されるため, より簡便な聴能回復リハビリテーション法が必要である.今回われわれは, 自宅での音読トレーニングなどを指導することによって裸耳の語音明瞭度の改善を認めた症例を経験したので報告する.症例は77歳女性.2005年7月に感音難聴を主訴に初診.両側高度感音難聴を認めた.語音明瞭度は右30%, 左20%であった.書籍“脳を鍛える大人の音読ドリル―名作音読・漢字書き取り60日”を用いたトレーニング, 新聞の音読をすることを指示した.6ヵ月後右耳の語音明瞭度は60%まで改善した.