Directional Prefixes in nDrapa and Neighboring Languages : An Areal Feature of Western Sichuan

departmental bulletin pape

ヨハネス・ボブロフスキー『レヴィンの水車小屋』論 -自然・歴史・語り-

Articledepartmental bulletin pape

城南信用金庫の経営研究(2)―信用金庫という協同組織の原点と本質―

Article【論文／Articles】departmental bulletin pape

<悪意>が転移する従順な<僕>の身体 : 大江健三郎「奇妙な仕事」論

application/pdf言語文化学研究. 日本語日本文学編. 2006, 1, p.25-37departmental bulletin pape

The experiences of youth foster care leavers in Makanda town, Eastern Cape, South Africa

This study sought to explore the experiences of foster care youth who had exited the system within a period of three years in Makhanda Town, Eastern Cape. The coping mechanisms employed by foster care youth after exiting the system, and the policies, legislations and support services available were explored. The study adopted a qualitative research method. Non-probability sampling was employed to recruit 23 foster care youth who had exited the system within three years in Makhanda Town. In addition, 6 professionals dealing with statutory cases, three (3) foster parents and one (1) key informant were selected. Data was collected through the use of face-to-face semistructured individual interviews with foster care youth who had exited the system. The focus group discussion was held with professionals dealing with statutory cases and the ward councillor. The researcher analysed the data thematically. The study findings revealed that long term and comprehensive planning was important so as to provide a consistent and all round support to the fostered youth during the pre and post foster care phases. It was established that for most foster care children, the lack of a complete plan affects their transition from their biological home through the foster care system. Consequently, they come out more vulnerable than when there were initially placed in foster care. The study highlighted the serious need for training and job placement for the youths, a structure that is currently non-existent. The study recommended that the Department of Social Development (DSD) should make it compulsory for statutory social workers within the foster care domain to come up with individualized and personalized plans that outline the needs and deliverables for each child placed in the foster care system. Importantly, DSD must create a framework that is endorsed and accepted by all stakeholders so as to achieve the best interest of the child in all situations. Furthermore, the study recommends that DSD should employ more social workers to address the current human resources shortages in foster care units. Lastly, the study recommends restructuring of placement system to be less paper-work for effective and efficient, integrity, and quality of the service provision.Thesis (MSW) -- Faculty of Social Sciences and Humanities, 202

The experiences of youth foster care leavers in Makanda town, Eastern Cape, South Africa

This study sought to explore the experiences of foster care youth who had exited the system within a period of three years in Makhanda Town, Eastern Cape. The coping mechanisms employed by foster care youth after exiting the system, and the policies, legislations and support services available were explored. The study adopted a qualitative research method. Non-probability sampling was employed to recruit 23 foster care youth who had exited the system within three years in Makhanda Town. In addition, 6 professionals dealing with statutory cases, three (3) foster parents and one (1) key informant were selected. Data was collected through the use of face-to-face semistructured individual interviews with foster care youth who had exited the system. The focus group discussion was held with professionals dealing with statutory cases and the ward councillor. The researcher analysed the data thematically. The study findings revealed that long term and comprehensive planning was important so as to provide a consistent and all round support to the fostered youth during the pre and post foster care phases. It was established that for most foster care children, the lack of a complete plan affects their transition from their biological home through the foster care system. Consequently, they come out more vulnerable than when there were initially placed in foster care. The study highlighted the serious need for training and job placement for the youths, a structure that is currently non-existent. The study recommended that the Department of Social Development (DSD) should make it compulsory for statutory social workers within the foster care domain to come up with individualized and personalized plans that outline the needs and deliverables for each child placed in the foster care system. Importantly, DSD must create a framework that is endorsed and accepted by all stakeholders so as to achieve the best interest of the child in all situations. Furthermore, the study recommends that DSD should employ more social workers to address the current human resources shortages in foster care units. Lastly, the study recommends restructuring of placement system to be less paper-work for effective and efficient, integrity, and quality of the service provision.Thesis (MSW) -- Faculty of Social Sciences and Humanities, 202

Contribution of Immunoscore to Survival Prediction in Pancreatic Ductal Adenocarcinoma

滋賀医科大学博士（医学）Anticancer Research. 2024 Oct;44(10):4483-4492.令和6年度thesi

Preoperative Predictive Nomogram Based on Alanine Aminotransferase, Prothrombin Time Activity, and Remnant Liver Proportion (APART Score) to Predict Post-Hepatectomy Liver Failure after Major Hepatectomy

Introduction: Post-hepatectomy liver failure (PHLF) is a serious complication associated with major hepatectomies. An accurate prediction of PHLF is necessary to determine the feasibility of major hepatectomy. This study aimed to assess the association between PHLF and preoperative laboratory and computed tomography (CT) findings. Methods: Medical records of 65 patients who underwent major hepatectomy and preoperative CT were retrospectively reviewed. We evaluated future remnant liver volume evaluation models and remnant liver hemodynamics, which were assessed by arterial enhancement fraction (AEF) by using preoperative CT. Variables, including CT findings, were compared between patients with and without PHLF after major hepatectomy, and the preoperative PHLF-predicting nomogram was constructed using multivariate logistic regression. Results: The PHLF group included 21 patients (32.3%). The AEF was not significantly different between the two groups. In the future remnant liver volume evaluation models, future remnant liver proportion (fRLP) had the highest concordance index (C-index) in the receiver operating characteristic curve analysis (C-index, 0.755). Multivariate analysis of preoperative evaluable factors revealed that alanine aminotransferase levels (p = 0.034), prothrombin time activity (p = 0.021), and fRLP (p = 0.012) were independent predictive factors of PHLF. A nomogram (APART score) was constructed using these three factors, with a receiver operating curve showing a C-index of 0.894. According to the APART score, scores of 51-60 indicated moderate risk (40.0%), and scores over 60 indicated a high risk of PHLF (83.3%) (p < 0.001). Discussion: The APART score may help predict PHLF in patients indicated for major hepatectomies.journal articl

Preoperative Physical Activity Level Measurement by Accelerometer for Predicting Post-Hepatectomy Complications : A Prospective Observational Study

Introduction: Recently, accelerometers have received much attention around the world. This study examined whether the preoperative physical activity level measured by an accelerometer could be a useful predictor of post-hepatectomy complications. Methods: Between December 2016 and December 2020, the physical activity levels of 185 patients were measured using an accelerometer 3 days before hepatectomy and from postoperative day 1 to 7. The patients without postoperative complications (n = 153) and those with postoperative complications (n = 32) were compared using either the χ2 test or Fisher's exact test for nominal variables; continuous variables were analyzed using either Student's t test or Mann-Whitney U test. Differences were considered statistically significant when the p value was <0.05. Risk factors for postoperative complications following hepatectomy were also investigated. Results: The number of patients with an anatomical resection was significantly higher in patients with postoperative complications (p = 0.001). Furthermore, laparoscopic hepatectomy was performed in 65.4% of patients without postoperative complications and in 25.0% of those with postoperative complications; the difference was statistically significant (p < 0.001). The average preoperative physical activity level was 150.6 kcal/day in patients without postoperative complications and 84.5 kcal/day in those with postoperative complications (p = 0.001). Multivariate analysis identified blood loss, operative time, and preoperative physical activity level as independent risk factors for postoperative complications. Discussion/conclusion: Patients with lower preoperative physical activity levels are at a high risk of developing postoperative complications after hepatectomy. Hence, preoperative physical activity level measurement may be useful in predicting post-hepatectomy complications.journal articl

ポーラスコンクリートブロックを使った空積み擁壁の作成

特集　里山基盤科学技術の社会実装モデルプロジェクト2019departmental bulletin pape