フィンランド ノ イリョウ フクシ ブンヤ ニオケル ICT ノ カツヨウ

We visited to Institute of Dentistry at The University of Oulu to see a Finnish medical information system and to see on-the-spot welfare in August 2012. We report the use of the information communication technology (ICT) in the field of a medical and welfare in Finland. The need for interoperable health information system is most important theme in health informatics field. In Finland, the ministry of Social Affairs and Health initiated an implementation project to build a national, centralized health information archive. This Finnish system consists of a national health records archive, a national electric prescriptions system and a wab portal for citizens' access to personal health information. A national health records archive is the database of the citizen's medical information record. Any doctor can see the patient's medical information such as the treatment records and results of physical examination and blood test, outcome of treatment, and so on. An electric prescription is the system that helps to issue and sign the prescriptions electronically. This system is included in the pharmaceutical database. eAccess is called“ My own health”. All people can see the history of his/her prescriptions and treatment and his/her health records by eAccess. This Finnish system is still under construction. The goal of this project will be finished in September 2015. After integration of the Nations in EU, peoples move to the other country freely without VISA. A lot of people can move to the countries in EU easily. Therefore, the traveler with the disease may be increased. This Finnish system will be provided with their important medical record data for the doctor or dentist to help to treat their disease anytime and anywhere. In near future, we should introduce the health information system like the Finnish system for keeping our health condition. It is one of useful tool that the medical bill and medical malpractice will be reduced

Characterization of Gastric Tissue-Resident T Cells in Autoimmune and Helicobacter pylori-Associated Gastritis

Data regarding the in-depth surface marker profiles of gastric tissue-resident lymphocytes in autoimmune and Helicobacter pylori-associated gastritis are lacking. In this study, we investigated potential differences in lymphocyte composition between these profiles. We enrolled patients with autoimmune (n = 14), active (current infection of H. pylori in the stomach; n = 10), and inactive gastritis (post-eradication of H. pylori; n = 20). Lymphocytes were isolated from the greater curvature of the stomach and lesser curvature of the body and analyzed using flow cytometry. The CD8(+)/CD3(+) and CD4(+)/CD3(+) ratios differed between the samples. Body CD4(+)/antrum CD4(+), which is calculated by dividing the CD4(+)/CD3(+) ratio in the body by that in the antrum, was significantly higher in autoimmune gastritis (3.54 +/- 3.13) than in active (1.47 +/- 0.41) and inactive gastritis (1.42 +/- 0.77). Antrum CD8(+)/CD4(+) in autoimmune gastritis (7.86 +/- 7.23) was also higher than that in active (1.49 +/- 0.58) and inactive gastritis (2.84 +/- 2.17). The area under the receiver operating characteristic curve of antrum CD8(+)/CD4(+) was 0.842, and the corresponding optimal cutoff point was 4.0, with a sensitivity of 71.4% and a specificity of 93.3%. We propose that an antrum CD8(+)/CD4(+) ratio > 4.0 is a potential diagnostic marker for autoimmune gastritis

キャリア ケイセイ シエン キョウイク プログラム ノ カイハツ ト キョウイク コウカ ノ ヒョウカ : チーム イリョウ タイケン ガクシュウ ノ ジッセンテキ ケンキュウ オ トオシテ

我々は歯学部学生のキャリア形成支援のための教育プログラム「チーム医療体験学習」を開発し， 歯学部の2，3，4年次の学生を対象として実施した。本プログラムは，グループワークによる事前学 習とチーム医療の現場体験を2つの柱とし，学生の歯科医療職としてのキャリア意識を強化することを 目的とした。プログラム終了時のアンケートから，学生には歯科専門職としての将来の姿勢や目指す方 向性が具体化すると同時に幅広い知識を身につけたいといった学習に対する動機付が強化されるなど 明らかな教育成果が認められた。プログラム実施前後のアンケートの分析結果から， 「チーム医療体験 学習」が歯学部学生のキャリア形成支援教育の手法として有効なプログラムである可能性が示唆された。We prepared career advancement program “Experience learning in medical team treatment" towards the second，third and fouth year students of dental school. This program consits of prior learning concerned with 'Team treatment and Dental profession' and experience learning in medical team treatment at Tokushima University Hospital. The purpose of this program was to rouse career conciousness as a dental profession. This program provided students with career image which they want to be in the future. Besides，they were motivated to study more widely to approach their own image. In this paper，we evaluated the effects of the program“The experience learning in medical team treatment" on career advancement of dental school students. As a result，it is suggested that this program might be fruitful as career advancement on dental students