<特集>「現代の国語」と「言語文化」 表現力の育成を目指して -実用的な文章の学習を中心に-

departmental bulletin pape

導入教育における学びの理解について（２）：管理栄養士養成課程における学びの理解の推移と成績の関連性

要旨　管理栄養士養成課程であるA 大学B 学部では、初年次教育の一貫であるFC の評価指標としてルーブリックより導いた「学びの理解」を用い、2016 年次入学生を３年間追跡し評価した。その結果、栄養士実力認定評価のB・C 群はA 群に比較し「学びの理解」の５つの分類の中で、「カリキュラムの理解」の点数が有意に低かった。模擬試験成績における、やや低値群は標準群・やや高値群・高値群に比較し、同様に「カリキュラムの理解」の点数が有意に低かった。栄養士実力認定試験・模擬試験得点と「カリキュラムの理解」の関係をみると２年終了時に正相関がみられた。栄養士実力認定試験評価のA 群とB・C 群を比較すると「カリキュラム理解」は同一パターンで年次推移するが、群間で差がみられ、すべてでA 群が高値、B・C 群が低値であり、２年終了時に最も差が大きかった。２年次終了時の「カリキュラムの理解」の得点の低い者は、客観的試験評価指標である栄養士実力認定試験・模擬試験得点が低いことが判った。これらの傾向は、３年次終了時より顕著であった。Abstract　This study is the result of a three-year follow-up evaluation of students who enrolled in A University at B department in the 2016 academic year. The students were evaluated based on “Understanding of Learning,” which was derived using a rubric to function as an evaluation index for the department Freshman Camp（FC; a training program held during students’ first year of university）. In the nutritionist proficiency certification exam results, compared to Group A, Groups B and C had a significantly lower score in “Understanding of the Curriculum” within the five categories of “Understanding of Learning.” In the mock exam results, the slightly low-scoring group similarly had low scores in “Understanding of the Curriculum,” compared to the average, slightly high-scoring, and high-scoring groups. A positive correlation was seen between the nutritionist proficiency certification exam/ mock exam scores and “Understanding of the Curriculum” at the end of the second year. A comparison of Group A with Groups B and C regarding the nutritionist proficiency certification exam test results showed that although “Understanding of the Curriculum” transitions annually in the same pattern, a difference was seen between each group, with Group A having high scores in all years, and Groups B and C having low scores, with the difference being largest at the end of the second year. It was found that those who scored low in “Understanding of the Curriculum” at the end of the second year also had low scores in the nutritionist proficiency certification exam/ mock exam, which are objective test evaluation indices. These trends were more prominent at the end of the third year

口腔癌患者における嚥下造影検査に関する検討

The purpose of this study was to evaluate retrospectively the clinical efficacy and problems of videofluoroscopic（VF）examination of swallowing in patients with surgical resection of oral cancer. VF examination was carried out 21 times in 17 patients with swallowing difficulties and suspicion of aspiration pneumonia. Abnormal findings in videofluoroscopy were observed in five patients. In three of these patients swallowing function was restored after rehabilitation according to the results of VF examination. On the other hand, three patients developed aspiration pneumonia after oral ingestion although abnormal findings were not obtained in the VF examination carried out in the early stage after surgery. No complication associated with VF examination was noted in any patients. The results of this retrospective study suggested that VF examination was safe and effective to evaluate swallowing function in patients with surgical resection of oral cancer（s）, although the appropriate timing of the examination needs to be considered.Article信州医学雑誌 55(2): 67-72(2007)journal articl

Comparative double-blind trial of KN-7 tablet and Robaveron injection in the treatment of neurogenic bladder

37施設で, 神経因性膀胱233例を対象に, ロバベロン注射剤を標準薬とし, KN-7錠剤の経口投与による排尿障害に対する有用性を, 二重盲検群間比較試験で比較検討した.解析対象例はKN-7群108例, ロバベロン群107例である.KN-7群は1日6錠投与した.改善度の効果判定では改善以上K群40.7%, R群38.7%, やゝ改善以上それぞれ76.9%, 72.6%と有意差はなかった.臨床所見中改善の良かった項目は, 尿意, 残尿感, 尿失禁, 排尿までの時間, 排尿時間, 尿勢-排尿力と尿線中断の改善などで, これらの改善以上はK群35.8%, R群30.8%で, 有意差はなかった.副作用はK群0.9%, R群6.8%, K群が有意に少なかった.両剤とも主として下痢で, R群ではその他頭痛, 頻脈, 肝機能障害, 発熱感などを少数例認めた.臨床検査値ではGOT, GPTの上昇が2例あった.有用度有用以上はK群46.3%, R群45.8%で有意差はなかった.疾患別では, 末梢神経疾患, 膀胱の性状では弛緩性, 時期では12ヵ月以内の例で特に改善率が高かった.以上から, KN-7錠剤は, ロバベロン注射剤に比べ, 同等の効果が期待でき, 安全性も高く, 長期投与あるいは外来患者の治療にも適するThe clinical effectiveness, safety and usefulness of KN-7 tablet as a new oral application of the prostatic extract, on urinary dysfunction of neurogenic bladder were compared with those of Robaveron injection by the double-blind test method. In the study, 2 tablets t.i.d. and a shot of intramuscular injection 1 ml a day were given successively for 3 weeks. A total of 233 cases were reported from 37 facilities belonging to the KN-7 Clinical Research Group. Some of them were excluded or dropped out. The number of cases used for analysing the effectiveness, safety and usefulness were 214, 232 and 215, respectively. There was no bias between the two groups with a significant homogeneity in the background. In the overall clinical effectiveness, the effective rate including excellent, moderate and slightly effective was 76.9% with KN-7 and 77.4% with Robaveron. In the clinical usefulness, the rate of usefulness of slightly useful or above was 75.0% with KN-7 and 75.7% with Robaveron. There was no significant difference between the two groups in the clinical effective and useful rates at a significant level of 5%. Side effects were observed in 1 of the 114 (0.9%) patients given KN-7 and 8 of the 118 (6.8%) patients given Robaveron. The incidence of adverse reactions with KN-7 was significantly lower than that with Robaveron. Based on the results, it was concluded that KN-7 tablets, 2 tablets t.i.d., would be as effective and useful as a Robaveron injection 1 ml daily and safer than the latter in the treatment of neurogenic bladder

北海道を対象とした地方議員と住民間の協働支援システムのユーザインターフェース評価

We made a system that provided information of each local councilor. Our system was created for the political information supporting service between local councilor and inhabitants through the WWW. We performed the evaluation from the point of user interface. This paper described the result of evaluation.2010年度人工知能学会全国大会（第24回）長崎ブリックホール（長崎県長崎市）2010年6月9日（水）～6月11日（金

胃腺癌の残胃に発生した内分泌癌の1例

症例は75歳女性．17年前に当院外科にて，胃腺癌に対し幽門側胃切除術を施行された．定期検診にて貧血と胸部Xpで左上肺野に腫瘤を指摘され，精査のために当院来院した．血液検査では正球性低色素性貧血と腫瘍マーカーの上昇を認め，上部内視鏡では，残胃にBormann 2型の腫瘍が認められ，左肺の結節は肺腺癌であった．胃と肺の同時手術が施行され胃癌の病理組織診断は内分泌癌であった．この癌組織はクロモグラニンであった．本症例の17年前の胃の病理組織診断は腺癌とクロモグラニンA陽性からなる内分泌細胞の過形成が見られた．17年前の内分泌細胞過形成が癌化し，内分泌癌が発生したと考えられる．　胃の内分泌癌は稀である．また，胃癌術後の残胃に内分泌癌が発生した報告は数例である．経験症例をもとに，内分泌癌の発生経路と治療について考察したので報告する

上皮小体の位置診断における⁹⁹mTc MIBIシンチグラムの有用性 : 局在画像診断法の検討

Article信州医学雑誌 46(5): 331-335(1998)journal articl