広島県のサービス産業 : 都道府県別データによる分析

全国的に経済のサービス化は着実に進んでいる。しかし，広島県では，国勢調査の就業者数でみると派遣労働者の増加によりサービス産業の占める比率が上昇しているものの，県内総生産でみると，サービス産業の占める比率が2003年度以降，低下傾向にある。この時期に製造業が好調で、あったことが主因であるが，サービス産業の伸び率は全国と比べると低い。広島県の施策にもかかわらず事業所向けサービス業の特化係数も低い。この傾向は，大規模な製造業集積をかかえる広島県と類似する府県に共通する特徴であり，地域構造的な要因が関連していることが示唆される。Japanese economy has moved further from a manufacturing base towards a service base. In Hiroshima prefecture，however，ratio of tertiary industy has decreasing from 2003. This is mostly because of steady growth in manufacturing sector，and growth of tertiary industry is also small during this period. In spite of measures and policies of Hiroshima municipal government， business service industry has not been promoted effectively. From the result of cluster analysis，the growth of business service industry is relatively low in prefectures which have the same attributes of Hiroshima. This suggests that regional structural factor is related in development of business service sector

Geheimmissionen der japanischen und deutschen U-Boote im Zweiten Weltkrieg—Begleitend zur Exkursion über die geheimen U-Bootmissionen und die Ruinen der kaiserlichen Marine in der Militärhafenstadt Kure in der Präfektur Hiroshima—第二次世界大戦における遣独潜水艦作戦─遣独潜水艦作戦と呉市の海軍遺構を実地見学するための手引き─

This article is the teaching material for students who participate in a fieldwork about the secret missions by the submarines to and from Germany and the military ruins around the military port of the city of Kure, or a guidebook for foreign tourists, especially for those who come from German-speaking countries. It can be used firstly as a teaching material of students studying the modern history of Kure and learning the German as a second language at universities in Hiroshima and Kure, secondly as a guidebook or pamphlet for those who guide foreign tourists, especially from German-speaking countries, about the secret missions by the submarines for the transportation and the technology transfer between Japan and Germany during the W.W.II and the ruin of the military facilities of the former Imperial Japanese Navy which were located around the military port of Kure during the W.W.II. Ultimately it aims to provide the foreign travelers with a “language barrier free situation” by using their mother tongue. The shortage of publications such as pamphlets or guidebooks that describe the secret missions and the ruin of the military facilities of the port of Kure in foreign languages particularly in German has motivated the author to prepare this article. Currently there are a few explanations for them in German and other European languages like English and French in that city, too. Considering the growing number of European tourists, especially Germans, who came to Hiroshima in recent years, I think it is worth preparing the guidebook in German. This article will provide students, foreign travelers and devotees of history with an opportunity to learn about the secret missions between Imperial Japan and Nazi Germany and the history of the military port of Kure. In the near future, translations of the article into English and French are forthcoming.Materia

<資料>広島県における医療経営変革の実態

本研究は, 病院管理責任者各々の病院経営に対する現状認識の共通性やズレ, 各部門の病院経営改善への取り組みの実態を把握し分析することを目的に実施した。調査協力を得られた施設は, 広島県下100床以上の一般病院111施設中15施設(13.3%)で, 経営指標の回答のあった13施設のうち, 医業収支比率100%未満の病院は4施設, 100%以上の病院は9施設であった。病院が経営改善に向けて実行した新規事業の内容は, 介護保健の施行を見据えた, 療養型病床群への転換・拡充, 在宅介護支援センターの新設, 訪問看護ステーションの新設, 病院内のアメニティーの充実などであった。病院経営に関連する入院患者数・外来患者数の変化を認識している管理責任者は事務部長, 病院長, 看護部長の順であった。病院経営・医療サービスに向けて病院全体で取り組む中長期目標, 最優先取り組み, 次年度目標に対しても, 各々の部門の管理責任者3者が一致していたのは3者ともに回答のあった13施設中4施設のみであった。今回の調査より, 病院経営に対する管理責任者の認識の不一致と職務内容や職能上の立場が優先する病院組織の実態の一部が明らかになった。The purpose of this study is to understand and analyse common or different awareness of the actual conditions of hospital administration among the management of hospitals, and the present state of approaches of each department to improvement of hospital administration. The institutions that supported this research are 15 out of the 111 general hospitals with more than 100 beds in them in Hiroshima Prefecture (13.3%). Among 13 institutions that have provided data to the management index, the hospitals under 100% revenue and expenditure rate of medical practice are 4,and the institutions more than 100% are 9. The contents of new projects that the hospitals have carried out toward improving their administration include, consideration of changes in the administration of nursing care insurance, changing into or enlarging into convalescent hospitals, the establishment of home care support centers, founding visiting care stations and upgrading amenities in hospitals. With regard to levels of awareness of the effect of changing numbers of inpatient and outpatient on hospital administration, head office directors are first, directors of hospitals second and then directors of nursing. he number of institutions where all three directors of departments gave answers is 13. In four out of the 13 institutions, the three directors all agree on medium and long term aims, the efforts to be given highest priorities and the aim for the next year of their hospital administration/medical service. This research shows clearly differing levels of awareness, which very depending on differing job specifications and professional functions within the actual circumstances of hospital systems.国立情報学研究所で電子

広島県内介護保険施設・病院等における給食施設の食中毒発生時の食事提供マニュアルの整備状況

介護保険施設・病院等の給食施設では、食中毒が発生した場合においても入所者、入院患者への食事提供を継続しなければならず、被害拡大防止対策や再発防止対策を講じなければならない中で、この責務を果たすことは施設にとって大きな課題である。そこで、広島県内A保健所管内における介護保険施設・病院等の53給食施設を対象として、食中毒発生時における食事提供マニュアルの整備状況を調査し、危機管理対策が適正に講じられているかどうかを把握することを目的とした。食中毒対応体制を確立するための施設からの課題としては、組織・人材管理項目では「代行従事者の確保」が、食事管理項目では「一般食以外の提供先」が、施設・設備管理項目では「盛り付け場所の確保」「洗浄場所の確保」が挙げられた。食中毒発生時の食事提供マニュアルを作成していた施設は介護老人福祉施設・介護老人保健施設の39.3%、病院の64.0%であった。食中毒発生時の食事提供に関する保健衛生行政に対する要望は「食事提供マニュアルの作成指針(チェックリスト)の提示」、「模擬訓練の実施」、「食事提供を支援する組織づくり(地域協議会など)」の順に多かった。これらのことから、食中毒発生時において入所者・入院患者の食事提供が円滑に行えるよう平時より介護保険施設・病院等の給食施設と保健所、地域が連携して食事提供マニュアルを作成し、模擬訓練を定期的に実施することが必要であると考えられた。"In case food poisoning breaks out at welfare facilities for the elderly or hospitals, a major priority is to limit the damage by ensuring that the outbreak spreads no further and to secure substitute food for residents. In 2003 and 2004, we conducted investigations as to whether manuals were available for coping with food poisoning. This was done using questionnaires and personal interviews at 28 welfare facilities and 25 hospitals within a specific area of Hiroshima Prefecture. The figures are as follows: 39.3% of the facilities and 64.0% of the hospitals had manuals for coping with food poisoning. Problems in making out manuals in the facilities are as follows: ""to secure agent staff"", ""to secure a place to serve food"", and ""to secure substitute special food"". Problems in making out manuals in the hospitals are as follows: ""to secure agent staff"" and ""to secure substitute special food"". We formed ""check lists"" of those who had manuals readily available for coping with food poisoning and distributed the result all those involved. Check lists are comprised of 13 units such as ""how to establish a system for dealing with the outbreak of food poisoning"", ""distribution of substitute food"", ""to secure a place to serve food"", and ""to secure agent staff"". It is important that the manual defines exactly what is involved in case of an outbreak of food poisoning. We make a point of conducting a practical verification for the purpose of improving the ability of staff members to cope with the outbreak of food poisoning, and revising the manuals more effectively."原著Original国立情報学研究所で電子

スプリントを成型する際にかける圧力の特徴 : 熟練作業療法士と作業療法学専攻学生の比較から

本研究では、スプリント製作が未経験である作業療法学生に見られた誤り動作、すなわち、「スプリントに指跡が残るほど強い力を加える」「肢位を崩す程の強い力で添わせる」等の動作から導かれた仮説「初心者が成型初期に手部掌側面にかける圧力は熟練者と比較して高い」を検証することが目的であった. この目的を達成するため、スプリント製作に熟練した作業療法士20名と作業療法学生29名を対象に、ニッタ社製把持力分布測定システム「グローブスキャンシステム」を使用し、成型中にかける圧力を経時的に測定した. そして、熟練者と初心者が手部掌側面にかけた圧力を抽出し、比較検証を行った. その結果、熟練者に比べ初心者が有意に高い圧力をかけていることが明らかになり、仮説は立証された. 今後は、本研究で測定した圧力を手の区分別に抽出し、熟練者と初心者を比較すること、および、各々がどの区分に圧力をかけているのか区分別の比較を行うことにより、熟練者と初心者の特徴をより明らかにしていきたいと考える.In this study, there was a hypothesis led by error movement found in an occupational therapy student(the following, a beginner) that sprint production was inexperienced namely movement to "make it go by strong power as we destroyed the position" to "add strong power so that a finger mark stayed for the sprint" for the purpose of that "the pressure that a beginner could write in the palm side was higher than an expert" inspected. In 20 occupational therapists who were an expert of sprint production and 29 beginners, we measured the pressure to a palm side to be able to write during molding with a grasp distribution measurement system "glove scan system" made in Nitta Industries Corporation with time to achieve this purpose. And we extracted the pressure that an expert and a beginner hung in the whole palm side and inspected comparison. As a result, it became clear that a beginner took significantly high pressure as compared with an expert, and the hypothesis was proved. We extract the pressure that we measured in this study according to category of the hand and want to determine the characteristic of an expert and the beginner by a thing comparing according to the category more in future which category thing and each compare a beginner with an expert put pressure on