カンキョウ ケイエイ センリャク ニオケル ソシキカン カンケイ : NPO ホウジン カワサキ シミン セッケン プラント ノ ジレイ ケンキュウ

本研究は、環境経営戦略の視点からNPO の組織間関係の形成プロセスを検討している。組織間関係の形成プロセスは、長期的な視点で企業・市民・行政と連携することにより、持続的な競争優位や環境戦略の仕組みづくりに関する問題を解決することができる。本研究では、NPO法人川崎市民石けんプラントにおける廃食油回収システムの事例を取り上げ、当該システムにおいて形成される地域レベルでの連携関係を提示する。そして連携関係の分析を踏まえ、バイオディーゼル燃料の製造を中心とする、地方自治体の産学公民連携事業における連携関係発展の可能性について指摘する。This study examines the processes of the developments between organizations of the NPOs from the viewpoint of the environmental corporate strategy. It can solve a problem of sustainable competition and environmental strategic structure. We take a case study of NPO Kawasaki Sekken Plant, and then show cooperate relations in the collection system of the used cooking oil. Based on such cooperate-relations, we point out the possibility of the developments of the Industry-university-local government cooperation in future by promoting the production of the biodiesel fuel (BDF)

Case reports of pregnancies complicated with kidney disease and their fetal prognosis

　The number of patients with chronic kidney disease (CKD) has been increasing every year, with a current prevalence of one in eight adults. Although the frequency of complications due to kidney disease before pregnancy is not high (0.02–0.12%), frequency of pregnancy with CKD, including cases receiving continuous dialysis therapy is expected to increase in the future. The fertility and birth rates among dialysis patients are low, and perinatal management in these patients is currently difficult. However, even under such circumstances, the probability of having a live-born baby in pregnant women on dialysis has increased due to improvements in dialysis technology, perinatal management, and neonatal care. There are some case reports written about them, and I think that it is possible to approach term delivery with careful care through the cases experienced this time.　In this study, we examined the pregnant patients, on dialysis or requiring postpartum dialysis, at Kawasaki Medical School Hospital between January 2005 and March 2018. Six patients (86%) had a live-born baby, while one had a miscarriage. One patient underwent two pregnancies on dialysis; one case gave a full-term birth, while the rest had a premature delivery. The modes of delivery were vaginal delivery (n = 1), elective cesarean section (n = 3), and emergency cesarean section (n = 2). Five patients delivered successfully and had a good prognosis, while in one case, the neonate died.　Over the years, owing to continuous improvement at our hospital, we have achieved better pregnancy prognosis and longer gestation periods in the patients. In particular, one case, which had a natural second pregnancy, 9 years after the beginning of dialysis, was worthy of note; we were able to manage her second pregnancy using the process followed during her first pregnancy as reference