人を育てる営みに関与する青年のジェネラティヴィティ ―教育・保育の営みに焦点をあてて―

　This research considers the development and changes of Generativity, coined by E. H. Erikson, among youth and young adulthoods who are engaged in education and childcare and highlights the need of further empirical research which focuses on Generativity in the context of these workers. As Generativity has been explained as a developmental task of middle aged people in terms of the cultural demands surrounding this aged people, which develops Generativity, youth has not been explained as a age which is seen a significant development of Generativity. However, when it comes to the working environment of those youth who are engaged in education and childcare, they are frequently faced the cultural demands during their work. The recent tendency of declining of birth rates have encouraged the sector of education and childcare to play a role significantly to support and develop children and their family in a local community

成人期の自己のとらえ直しに関する試論―エリクソン理論のジェネラティヴィティを手がかりに―

人生における苦悩に直面した際の自己のとらえ直しのあり方について、本稿ではジェネラティヴィティの社会化を手がかりに考察した。すなわち成人期には苦悩を通して、限りある身としての自己が喚起されることが多くあり、そのような状況ではそれまでの自己では立ち行かず、新たに自己をとらえ直し、組み直すという再体制化の課題が繰り返し生じることをこれまでの研究を概観することによって指摘した。自己をとらえ直す際には、自分自身の人生においてそれを意味あることと捉えられるか否かという意味づけが重要になってくるということ、さらにその意味づけには、「特定の閉じられた帰属集団」から「普遍化」という社会化への一定の発達的方向性があるということを概観した

Robot-Assisted Total Hysterectomy of Extremely Unusual Pelvic Anatomy: A Case Report and Literature Review

We report a case of robot-assisted total hysterectomy in a patient with extremely rare pelvic anatomy. Robot-assisted total laparoscopic hysterectomy was performed for lobular endocervical glandular hyperplasia on the left side of the uterus. The sigmoid colon was present between the two uterine corpora of a uterine didelphys and was attached to the bladder via the mesentery and fat. During surgery, the surgeon left the console and confirmed the magnetic resonance images. The surgery was then completed safely after the surgeon understood the anatomy. The postoperative condition was good, and the patient was discharged on postoperative day 5. Robot-assisted surgery has various advantages, including a good field of view, accuracy of instrument movement, and ease of viewing information in the medical record by pausing the operation. Robot assisted surgery improves not only safety and operational precision but also intraoperative convenience. Further studies are needed regarding the specific anatomy seen in this case

Effects of Extracellular Acidification on Intracellular pH and ATP-Induced Calcium Mobilization in Rabbit Lens Epithelial Cells

Effects of extracellular acidification on intracellular pH (pHi) and ATP-induced calcium mobilization were investigated in rabbit lens epithelial cells. Primary-cultured lens epithelial cells of Japanese white rabbits were used. Intracellular calcium ([Ca2+]i) and pHi were measured by using fluorescent dyes, fura-2 acetoxymethylester (fura-2 AM) and 2',7'-bis (carboxyethyl)-5,6-carboxyfluorescein acetoxymethylester (BCECF AM), respectively. The addition of 10 ?mol/L ATP produced an initial peak followed by a sustained increase in [Ca2+]i in a standard artificial aqueous humor at extracellular pH (pH0) 7.40. The initial peak was abolished by pretreatment with 1 ?mol/L thapsigargin, whereas the sustained increase was attenuated in a Ca2+-free solution or by pretreatment with 100 ?mol/L verapamil. Acidification of the pH0 from 7.40 to 6.80 decreased the pHi from 7.21 to 7.03, and enhanced both the initial peak and sustained increase in [Ca2+]i. These results suggest that acidification of pH0 significantly affects the pHi and modifies the ATP-induced [Ca2+]i transient in rabbit lens epithelial cells

Nursing students' learning experiences of pediatric nursing practice in kindergarten : learning contents' trait and significance of the context of fundamental education-

小児看護学実習における学生の学習経験を明らかにすることを目的として、研究を行った.H大学の小児看護学実習を経験した学生117名を対象に、まとめのカンファレンス・ノート記録2年分を資料とし、KJ法を用いて分析した.本稿では、幼稚園実習に焦点を当て報告する.1.幼稚園実習における学生の学習経験は、【自分の力を生かしている子どものありようの理解】【子どもの現実に身を置く言動や態度の習得】の2つのカテゴリーから構成されていた.2.【自分の力を生かしている子どものありようの理解】【子どもの現実に身を置く言動や態度の習得】の2つのカテゴリー間には、相反する内容と共通する内容が存在していた.共通する内容としては遊びがあり、全体としては、相互に作用していた.3.幼稚園実習の意義として、子どもの主体性や生き生きしさに対応する大人の役割認識と遊びの認識、そして、子どもに学ぶ人との関わりの豊かさへの実感が示唆された.4.教育への示唆として、小児看護に重要な子どものトータルケアに繋がる実践的な子ども観の涵養、観察やコミュニケーション技術の基盤となる見ること、聞くことの体験という基礎教育における幼稚園実習の役割の一旦を知ることができた.This research was undertaken to investigate the learning experiences of students in the context of. pediatric nursing practice. We conducted an analysis (using the KJ method) targeting 117 students who had pediatric nursing practice experience at H University, using two years of summarized conference notes as materials. This paper presents a report with a focus on learning experience in kindergarten. 1) Nursing students' learning experiences in kindergarten can be divided into two main categories: "Understanding of the nature of children expressing their strengths and abilities" and "Learning language and behavior from the perspective of a childs reality" 2) A comparison of these two categories showed both contrasting elements and common elements. "Play" -which was one of the common elements- interacted with all of the other elements present. 3) This is an indication of the significance of pediatric nursing practice in kindergartern : during this research, we got a strong sense of an awareness of "play" and an awareness of the adults role in response to the childs sense of identity and vitality. 4) In terms of the implications for education in general, we were able to grasp, to some extent, the role of training in kindergarten among the context of fundamental education - that is, the experience of watching and listening, which forms the foundation of observation and communication skills, as well as practical skills in cultivating the child's sense of self. All of these tie into the concept of “total care,” an important concept for nursing care of children and families in general

Retrorectal epidermoid cyst with unusually elevated serum SCC level, initially diagnosed as an ovarian tumor

Retrorectal epidermoid cyst is one of the developmental cysts which arise from remnants of embryonic tissues. We report a rare case of retrorectal epidermoid cyst, initially diagnosed as an ovarian tumor. Serum SCC value as tumor marker was elevated to the high level. Laparoscopy revealed ovaries, uterus and other pelvic organs were all normal. This tumor existed in the retroperitoneal cavity and compressed the rectum. Later, complete tumor resection was performed by laparotomy. Histological study revealed the epithelium of this tumor consisted of only squamous cells without atypia, and the diagnosis of this tumor was retrorectal epidermoid cyst. Retrorectal epidermoid cyst is very rare, and difficult to diagnose before surgery. However, if we have-knowledge of developmental cysts, and by careful digital examination and image diagnosis, a differential diagnosis can be made

Myocardial velocity gradient as a noninvasively determined index of left ventricular diastolic dysfunction in patients with hypertrophic cardiomyopathy

AbstractObjectivesWe investigated the utility of the peak negative myocardial velocity gradient (MVG) derived from tissue Doppler imaging (TDI) for evaluation of diastolic dysfunction in patients with hypertrophic cardiomyopathy (HCM).BackgroundHypertrophic cardiomyopathy is characterized by impaired diastolic function with abnormal stiffness and prolonged relaxation. However, it remains difficult to evaluate these defects noninvasively.MethodsBoth TDI and conventional echocardiography were performed in 36 patients with HCM and in 47 control subjects. Left ventricular (LV) pressure was measured simultaneously in all HCM patients and in 26 controls.ResultsThe peak negative MVG occurred soon after the isovolumic relaxation period during the initial phase of rapid filling (auxotonic relaxation). It was significantly smaller in HCM patients than in control subjects (2.32 ± 0.52/s vs. 4.82 ± 1.15/s, p < 0.0001); the cutoff value for differentiation between all HCM patients and 47 normal individuals was determined as 3.2/s. Both the left ventricular end-diastolic pressure (LVEDP) (19.6 ± 6.1 mm Hg vs. 6.5 ± 1.7 mm Hg, p < 0.0001) and the time constant of LV pressure decay during isovolumic diastole (tau) (44.0 ± 6.7 ms vs. 32.1 ± 5.5 ms, p < 0.0001) were increased in HCM patients compared with controls. The peak negative MVG was negatively correlated with both LVEDP (r= −0.75, p < 0.0001) and tau (r= −0.58, p < 0.0001).ConclusionsA reduced peak negative MVG reflects both prolonged relaxation and elevated LVEDP. The peak negative MVG might thus provide a noninvasive index of diastolic function, yielding unique information about auxotonic relaxation in patients with HCM