カテイニ オケル ドウブツ ノ イノチ ト ショクニク ノ カンレンセイ 二 カンスル キョウイク ノ ジッタイ チョウサ

平成17年6月,『食育基本法』が制定された。しかしながらその内容は,ほとんどが食事の重要性や栄養バランスなどに重点が置かれており,戦後のわが国の平均寿命を飛躍的に延ばしたとされる,動物性タンパク質とくに食肉に代表される畜産物に関して,それがヒトと同等である動物の命から得られているということを教える食育プログラムはほとんど認められない。そこで,本研究では子供が他の動物の命をもらって生かされていることを認識し,命に対する感謝の心を持てるようにと考え,家庭における動物の命と畜産物の関連性に関する教育の実態調査を行った。都内の中高生 1,117人およびその保護者 1,009人の計 2,126人にアンケートを行ったところ,生徒は小学校低学年までに肉が動物であることを知り,保護者も教えていることが明らかとなった。肉を生産する動物について,生徒は動物の命を奪って肉が得られるという内容を多く聞き,また保護者も話しており,動物の命と食肉の関係について子供がしっかりと理解する機会を持っていることは判明したが,生徒は肉が動物であることを自然に知った,覚えていないとする回答が多く,家庭で教えられた記憶を持ちにくいことがうかがえた。In June, 2005, "Basic Act for Food Education" was established. However, regarding the content, importance was only put on the balance of a meals and the level of nourishment. the Meat, and animal protein represented by meat, extended the postwar average life span of the nation dramatically, but most of the food education programs teaching that meat is obtained by taking the life of the animal are not recognized. Therefore, an investigation was carried out on home training in the relationship of animal life and meat, to recognize that a child receives the life of other animals, and to have a feeling of thankfulness for life. A questionnaire survey of 2,126 people, 1,009 parents and 1,117 junior and senior high school students was carried out in Tokyo. It was ascertained that the students of elementary school lower class knew that meat was an animal. The students heard mostly that meat means taking the life of an animal, and the parents talked about this as well. It was found that the students did have the opportunity to understand the life of the animal and its relation to meat well, but there were many answers that showed that the students knew that meat was an animal naturally, but also that they did not remember it. It was understood that they found it hard to remember what they were taught at home

カテイニ オケル ドウブツ ノ イノチ ト ショクニク ノ カンレンセイ 二 カンスル キョウイク ノ ジッタイ チョウサ

平成17年6月,『食育基本法』が制定された。しかしながらその内容は,ほとんどが食事の重要性や栄養バランスなどに重点が置かれており,戦後のわが国の平均寿命を飛躍的に延ばしたとされる,動物性タンパク質とくに食肉に代表される畜産物に関して,それがヒトと同等である動物の命から得られているということを教える食育プログラムはほとんど認められない。そこで,本研究では子供が他の動物の命をもらって生かされていることを認識し,命に対する感謝の心を持てるようにと考え,家庭における動物の命と畜産物の関連性に関する教育の実態調査を行った。都内の中高生 1,117人およびその保護者 1,009人の計 2,126人にアンケートを行ったところ,生徒は小学校低学年までに肉が動物であることを知り,保護者も教えていることが明らかとなった。肉を生産する動物について,生徒は動物の命を奪って肉が得られるという内容を多く聞き,また保護者も話しており,動物の命と食肉の関係について子供がしっかりと理解する機会を持っていることは判明したが,生徒は肉が動物であることを自然に知った,覚えていないとする回答が多く,家庭で教えられた記憶を持ちにくいことがうかがえた。In June, 2005, "Basic Act for Food Education" was established. However, regarding the content, importance was only put on the balance of a meals and the level of nourishment. the Meat, and animal protein represented by meat, extended the postwar average life span of the nation dramatically, but most of the food education programs teaching that meat is obtained by taking the life of the animal are not recognized. Therefore, an investigation was carried out on home training in the relationship of animal life and meat, to recognize that a child receives the life of other animals, and to have a feeling of thankfulness for life. A questionnaire survey of 2,126 people, 1,009 parents and 1,117 junior and senior high school students was carried out in Tokyo. It was ascertained that the students of elementary school lower class knew that meat was an animal. The students heard mostly that meat means taking the life of an animal, and the parents talked about this as well. It was found that the students did have the opportunity to understand the life of the animal and its relation to meat well, but there were many answers that showed that the students knew that meat was an animal naturally, but also that they did not remember it. It was understood that they found it hard to remember what they were taught at home

The Effect of Interim FDG-PET-guided Response-Adapted Therapy in Pediatric Patients with Hodgkin’s Lymphoma (HL-14) : Protocol for a Phase II Study

This trial enrolls patients with untreated Hodgkin’s lymphoma aged<20 years at diagnosis and examines the effects of omitting radiation therapy if the FDG-positron emission tomography (PET) findings after two completed cycles of combination chemotherapy are negative. It thereby aims to determine whether patients who truly require radiation therapy can be identified by FDG-PET. If so, this modality could be used to omit radiation therapy for all other patients, decreasing the risk of serious long-term complications without affecting survival rates. The outcomes of patients for whom FDG-PET is used to assess early treatment response will also be determined

Phase II study of dose‐adjusted gemcitabine, dexamethasone, cisplatin, and rituximab in elderly relapsed diffuse large B‐cell lymphoma patients

Abstract High‐dose chemotherapy and autologous stem cell transplantation (ASCT) are too toxic for elderly patients with relapsed or refractory diffuse large B‐cell lymphoma (DLBCL). Therefore, effective and tolerable regimens for elderly patients are urgently needed. The present phase II study assessed the efficacy and safety of dose‐adjusted therapy with gemcitabine, dexamethasone, cisplatin, and rituximab (GDP‐R) in this population. ASCT‐ineligible elderly patients with relapsed or refractory DLBCL received dose‐adjusted GDP‐R in each 28‐day cycle for up to six cycles. The primary endpoint was overall response rate (ORR), and secondary endpoints were complete response (CR) rate, progression‐free survival (PFS), and safety. Thirty‐three patients were enrolled and received dose‐adjusted GDP‐R. The median age was 75 years (range: 68‐87 years). The ORR was 82.8% (90% confidence interval [CI], 67.1‐93.0%), with a CR rate of 58.6% (90% CI, 41.7‐74.1%). At a median follow‐up of 20.9 months, the 2‐year PFS rate was 46.8% (90% CI, 30.7‐61.5%) and the 2‐year overall survival rate was 63.2% (90% CI, 45.8‐76.3%). The most frequently observed grade 4 adverse events were neutropenia (63.6%), thrombocytopenia (57.6%), and lymphocytopenia (39.4%). Dose‐adjusted GDP‐R is a promising salvage regimen for ASCT‐ineligible elderly patients with relapsed DLBCL after rituximab‐containing chemotherapy and warrants further investigation

National trends in the outcomes of subarachnoid haemorrhage and the prognostic influence of stroke centre capability in Japan: retrospective cohort study

Objectives To examine the national, 6-year trends in in-hospital clinical outcomes of patients with subarachnoid haemorrhage (SAH) who underwent clipping or coiling and the prognostic influence of temporal trends in the Comprehensive Stroke Center (CSC) capabilities on patient outcomes in Japan.Design Retrospective study.Setting Six hundred and thirty-one primary care institutions in Japan.Participants Forty-five thousand and eleven patients with SAH who were urgently hospitalised, identified using the J-ASPECT Diagnosis Procedure Combination database.Primary and secondary outcome measures Annual number of patients with SAH who remained untreated, or who received clipping or coiling, in-hospital mortality and poor functional outcomes (modified Rankin Scale: 3–6) at discharge. Each CSC was assessed using a validated scoring system (CSC score: 1–25 points).Results In the overall cohort, in-hospital mortality decreased (year for trend, OR (95% CI): 0.97 (0.96 to 0.99)), while the proportion of poor functional outcomes remained unchanged (1.00 (0.98 to 1.02)). The proportion of patients who underwent clipping gradually decreased from 46.6% to 38.5%, while that of those who received coiling and those left untreated gradually increased from 16.9% to 22.6% and 35.4% to 38%, respectively. In-hospital mortality of coiled (0.94 (0.89 to 0.98)) and untreated (0.93 (0.90 to 0.96)) patients decreased, whereas that of clipped patients remained stable. CSC score improvement was associated with increased use of coiling (per 1-point increase, 1.14 (1.08 to 1.20)) but not with short-term patient outcomes regardless of treatment modality.Conclusions The 6-year trends indicated lower in-hospital mortality for patients with SAH (attributable to better outcomes), increased use of coiling and multidisciplinary care for untreated patients. Further increasing CSC capabilities may improve overall outcomes, mainly by increasing the use of coiling. Additional studies are necessary to determine the effect of confounders such as aneurysm complexity on outcomes of clipped patients in the modern endovascular era