Health Support Provided by Yogo Teachers for Adolescent Female Students with a Thin Body Type

Purpose: To clarify the realities and challenges involved in health support provided by yogo teachers to adolescent girls who have a thin body type. Methods: A semi-structured interview survey was conducted with yogo teachers at a Japanese high school with experience of providing health support to thin adolescent female students and the results of the survey were subjected to qualitative analysis. Results: With regard to health support provided by yogo teachers, the results of analysis found that the actual situation consisted of the five categories of 【sharing information throughout the school organization to investigate methods of support】,【 realizing studentsʼ situations through the provision of individual support】, 【referring students and parents to specialist agencies】,【investigating collaborations with parents with students ʼ consent】, and 【carrying out prevention and awareness-raising activities about thin physiques】.　 However, the analysis also found that the practical challenges for providing such health support consisted of the six categories of 【working with parents to liaise with medical institutions】,【continuous support in collaboration with specialist agencies】,【 educational health support that enables all students to manage their own health】,【 yogo teachersʼ professional knowledge and assessment of eating disorders】,【 support methods that students can engage with on their own initiative, according to their situation】, and 【creating a counseling- friendly environment to facilitate early detection】.Discussion: While yogo teachers had an overall grasp of studentsʼ situations through their organizational engagements in cooperation with faculty and school physicians, as well as individual support activities, it was clear that they faced difficulties and challenges in relation to working together with parents and specialist agencies.　In the future, improving collaboration with parents will require that they, too, be encouraged to recognize that being excessively thin represents a health problem for adolescent female students.　In addition, it will also be necessary to work towards building daily collaboration systems, such as by having yogo teachers keep track of potential partner medical institutions as a matter of routine.　It was further suggested that yogo teachers will need to provide educational and preventive health support oriented toward helping female students acquire the ability to manage their own health

保育所看護職者の配置形態の違いによる保育保健活動の現状と課題

本研究の目的は，保育所看護職者を対象に保育保健活動の担当状況を調査し，保育所での配置形態による関連を 明らかにし，今後の保育所看護職者の配置に関する課題を検討することである．A 県内の保育所に勤務する看護職 者71名のうちA 県保育協議会の研修会に参加した保育所看護職者41名を対象とし，自作の質問紙調査を行った． 保育保健活動30項目の担当状況を『子どもへの支援』『家族への支援』『多職種・関連機関との連携・協働』の3つ のカテゴリーに分類し，「クラス担当配置」と「フリー配置」の配置形態による差異を比較した．結果，3つのカテ ゴリーのいずれも，「フリー配置」の方が保育保健活動の担当状況の平均値が高かった．保育所看護職者が，その 専門性を発揮し保育保健活動を遂行するためには，配置形態の改善が必要であることが示唆された．The aims of this study were to examine the current responsibilities of nurses in child healthcare activities conducted at day care centers, clarify the relationship between their work responsibilities and style of work allocation at these centers, and discuss the issues relating to the work allocation of nurses at these centers for the future. Research was carried out with 41 nurses who participated in a workshop run by the childcare council in Prefecture A, out of a total of 71 nurses working in day care centers in the prefecture. The nurses responded to a questionnaire created by the authors. The 30 questionnaire items concerning the allocation of healthcare activities in the day care centers were divided into three aspects: support for children, support for families, and cooperation with various professionals and related agencies. Differences in the three aspects were compared between nurses responsible for particular classes and nurses not tied to responsibilities for particular classes. The results revealed that mean scores were higher for the nurses not tied to responsibilities of particular classes in all three aspects examined. This indicates that in order for nurses at day care centers to make best use of their specialized skills and knowledge, and carry out child healthcare activities, the styles of work allocation must be improved

ショウガッコウ タイイク ガクシュウ ニオケル ヒョウゲン ウンドウ ガクシュウ シエン デジタル キョウザイ ノ カイハツ ト ヒョウカ : ドウガ チエン サイセイ ソウチ オ カツヨウ シタ オヤツ オ ツクロウ デ センタク シタ ウゴキ ノ シュウセイ

This is a continuing study aimed to devise a learning support software aiding primary school teachers to teach physically expressive movements in elementary P.E. class and to investigate its effectiveness by studying the educational materials taught for 6 years in elementary P.E. class. This time, we examined how learners modify and create a cluster of movement phrases by utilizing the device which automatically run back and play the Software ("Let\u27s make refreshments"). The device (Ratoc system) is an equipment which put images recorded on videotape into the computer, and automatically play the software after a fixed amount of time (in this study, 1minute). The equipment allows learners to make progress with their studies in the way that they stand in front of a video camera and do whatever movements they choose and then check the movements after 1minute without operating the video camera and computer. How learners utilized the device was analyzed by playing the video recorded on computer. The device was used in the second and the fourth classes within four classes as a whole. The evaluation items were such as "change in level," "change in spatial extension," "change in speed," "additional movements," "repetition," and "composition of the work (start/middle/end)." The result is as follows :1. The number of times that the learners used the device was 6.6 times on the average in both the second and the fourth classes. As the learners used the device 6.6 times on the average in 25 minutes exclusive of 10 minutes for introduction and 10 minutes for presentation of the works at the end of the class, it was clear they worked positively.2. The learners mainly selected and chose the new movements according to the content of the expression.3. As for the "change in level," "change in spatial extension" and "repetition," the learners evaluated positively as they answered that they understood well and modified the selected movements.4. As for the question "whether the qualities of refreshment were expressed," the learners evaluated positively as they answered that they selected the movements as they wanted.5. As for the composition of the work (start/end), the learners could not evaluate very well. And also, as for "change in speed," it became clear that both understanding and practice were difficult for them, and they did not know how to choose the movements and modify them

ショウガッコウ タイイク ガクシュウ ニオケル ヒョウゲン ウンドウ ガクシュウ シエン デジタル キョウザイ ノ カイハツ ト ヒョウカ ドウガ チエン サイセイ ソウチ オ リヨウ シタ ソフト オヤツ オ ツクロウ ノ カツヨウ ニツイテ

This is a continuing study aimed to devise a learning support software aiding primary school teachers to teach physically expressive movements in elementary P.E. class and to investigate its effectiveness by studying the educational materials taught for 6 years in elementary P.E. class. This time, utilizing the Software ("Let\u27s make refreshments") and the device which automatically run back and play the software on PC, the study is to examine how learners use the software, in other words, how they compose movement phrases or modify them. The questionnaires as to preferences for expressive movements and the other matters were carried out to the students before each unit of teaching materials and after every class. The students answered in four grades, "strongly agree" "agree" "not agree" "completely disagree." The results can be summarized as follows : 1. 100% of students had experiences in creating expressive movements, and 86.2% of them answered they like the expressive movements. 2. The students changed their answers from "agree" to "strongly agree" in the investigation carried out before and after each unit of teaching materials, and the significant differences (1% level) were found. Through this result it is clear that the students actively learned expressive movements. 3. The student actively utilizes the device which automatically runs back and plays the software on PC, and they modified their movements especially in height, speed and expanse

Recurrence of Macular Hole Retinal Detachment after Intravitreal Ranibizumab Injection for the Treatment of Choroidal Neovascularization from the Remaining Macular Hole Edge

Purpose: To report a case who had recurrence of macular hole retinal detachment (MHRD) after intravitreal ranibizumab injection (IVR) for the treatment of choroidal neovascularization (CNV) that arose from the damaged retinal pigment epithelium of the remaining macular hole (MH) edge, which had been successfully treated by pars plana vitrectomy (PPV) 15 years previously. Case Report: A 67-year-old man with previous PPV for MHRD secondary to high myopia in the right eye had been under observation for 15 years after surgery. The retina had been successfully attached, but the MH remained open. He had CNV which arose from the remaining MH edge. IVR was performed for the treatment of CNV. One month after the injection, CNV was contracted but recurrence of MHRD occurred. PPV with an additional internal limiting membrane peeling, removal of the CNV membrane and 20% SF6 gas tamponade was performed. One year after the last surgery, his right retina was attached and the MH was closed successfully. Conclusion: We propose that patients who undergo IVR should be carefully maintained and followed up for possible complications including the recurrence of MHRD

Production and Application of New Monoclonal Antibodies Specific for a Fecal Helicobacter pylori Antigen

The aim of the present study was to establish monoclonal antibodies that could be used to produce a diagnostic test composed of one kind of monoclonal antibody recognizing a fecal Helicobacter pylori antigen. The need to develop such a test arose from disadvantages of the diagnostic test that uses a polyclonal antibody or plural kinds of monoclonal antibodies, such as the lower specificity for H. pylori antigen and the difficulty of reproduction with consistent quality. Mice were immunized with sonicated cells of the coccoid form of H. pylori, and fecal samples from H. pylori-positive subjects were screened by a direct sandwich enzyme immunoassay (EIA) for antibody production from 32 hybridoma clones. The three stable clones produced antibodies (21G2, 41A5, and 82B9) that reacted with the same soluble antigen. Gel filtration chromatography showed that the molecular masses of the cellular antigen and the fecal antigen were the same, 260 kDa. The antigen was labile in response to sodium dodecyl sulfate and heat treatments. A single-step direct sandwich EIA using a single monoclonal antibody, 21G2, was developed. The EIA could detect the antigen in 41 H. pylori clinical isolates and in fecal samples from seven H. pylori-positive subjects. Several kinds of Helicobacter species (Helicobacter felis, Helicobacter hepaticus, Helicobacter mustelae, and Helicobacter cinaedi) except H. pylori, major bacteria in feces (Campylobacter jejuni, Bacteroides vulgatus, Bifidobacterium breve, Bifidobacterium infantis, and Escherichia coli), and fecal samples from six H. pylori-negative subjects showed negative results. These results indicate that the new monoclonal antibodies and the new specific EIA would be useful as a noninvasive method of diagnosis of H. pylori infection