A survey of the development of syntactic comprehension in neurotypical infants

13301甲第4389号博士(保健学)金沢大学博士論文本文Full 以下に掲載：Journal of Tsuruma Health Science Society，Kanazawa Univirsity 39(2) pp.51-61 2015. kanazawa University. 共著者：Satsuki Adachi, Yasuko Ikeda, Tsuneo Satake, Satoshi Usami, Nobuyuki Sunahara, Masako Notoy

A survey of the development of syntactic comprehension in neurotypical infants

13301甲第4389号博士(保健学)金沢大学博士論文要旨Abstract 以下に掲載：Journal of Tsuruma Health Science Society，Kanazawa Univirsity 39(2) pp.51-61 2015. kanazawa University. 共著者：Satsuki Adachi, Yasuko Ikeda, Tsuneo Satake, Satoshi Usami, Nobuyuki Sunahara, Masako Notoy

言語聴覚療法におけるリスクマネジメントと養成校での教育

研究報告Original Paper医療現場におけるリスクマネジメントの重要性が認識され、多くの病院で医療事故防止のためのアプローチが試みられているが、言語聴覚士は資格制定からの日が浅く、養成校では言語聴覚療法そのものに関する教育のみに主眼が置かれ、医療安全に関する教育は十分とは言えない状況である。日本言語聴覚士協会の調査によれば、事故、ヒヤリハット、苦情、不満等を体験した回答者は83%に上り、事例の具体的記載内容では身体的危害に関するものが70%、患者との人間関係に関するものが27%であった。言語聴覚士にとってのリスクは、基本的な業務遂行上の問題、情報伝達・人間関係・守秘義務に関する問題、専門的臨床能力に関する問題、全般的な安全に関する問題に分類された。養成校におけるリスクマネジメント教育は、個々の専門科目のシラバスの改訂、臨床実習手引書の改訂と実習前教育、当該科目の新設によって改善が図られるべきである。As the importance of risk management in medical field has been emphasized these days, various kinds of approaches have been taken to help prevent medical incidents and accidents in many hospitals. It is only several years since the national law of the certification system of speech-language-hearing therapists was established, so education for those therapists at institutes tended to be focused on professional skill, not on medical safety. A survey organized by Japanese association of speech-language-hearing therapists showed that 83% of respondents had experienced accidents, incidents and complaints by their patients. 70% of specific instances of what they had experienced were concerned with physical damages and 27% of them were concerned with human relationships. The risk in speech-language-hearing therapy was assorted into four types of problems, 1) basic performance, 2) communication, human relationship and confidentiality, 3) professional ability and 4) general safety, which were then examined. We concluded that risk management education had to be improved by revising each syllabus of professional subjects, by amending each guidebook for clinical practice, by guiding students just before carrying out that practice and by setting up new subjects

Randomized controlled trial of daily teriparatide, weekly high-dose teriparatide, or bisphosphonate in patients with postmenopausal osteoporosis: The TERABIT study

Purpose: The effects of daily teriparatide (20 μg) (D-PTH), weekly high-dose teriparatide (56.5 μg) (W-PTH), or bisphosphonates (BPs) on areal bone mineral density (aBMD), bone turnover markers (BTMs), volumetric BMD (vBMD), microarchitecture, and estimated strength were investigated in postmenopausal osteoporosis patients.Methods: The study participants were 131 women with a history of fragility fractures. They were randomized to receive D-PTH, W-PTH, or BPs (alendronate or risedronate) for 18 months. Dual-energy X-ray absorptiometry (DXA), BTMs, and high-resolution peripheral quantitative CT (HR-pQCT) parameters were evaluated at baseline and after 6 and 18 months of treatment. The primary endpoint was the change (%) in cortical thickness (Ct.Th) after 18 months\u27 treatment compared with baseline.Results: DXA showed that D-PTH, W-PTH, and BPs increased lumbar spine aBMD (+12.0%, +8.5%, and +6.8%) and total hip aBMD (+3.0%, +2.1%, and +3.0%), but D-PTH and W-PTH decreased 1/3 radius aBMD (− 4.1%, − 3.0%, − 1.4%) after 18 months. On HR-pQCT, D-PTH increased trabecular vBMD (Tb.vBMD) at the distal radius and tibia after 18 months (+6.4%, +3.7%) compared with the BPs group, decreased cortical volumetric tissue mineral density (Ct.vTMD) (− 1.8%, − 0.9%) compared with the other groups, increased Ct.Th (+1.3%, +3.9%), and increased failure load (FL) (+4.7%, +4.4%). W-PTH increased Tb.vBMD (+5.3%, +1.9%), maintained Ct.vTMD (− 0.7%, +0.2%) compared with D-PTH, increased Ct.Th (+0.6%, +3.6%), and increased FL (+4.9%, +4.5%). The BPs increased Tb.vBMD only in the radius (+2.0%, +0.2%), maintained Ct.vTMD (− 0.6%, +0.3%), increased Ct.Th (+0.5%, +3.4%), and increased FL (+3.9%, +2.8%).Conclusions: D-PTH and W-PTH comparably increased Ct.Th, the primary endpoint. D-PTH had a strong effect on trabecular bone. Although D-PTH decreased Ct.vTMD, it increased Ct.Th and total bone strength. W-PTH had a moderate effect on trabecular bone, maintained Ct.vTMD, and increased Ct.Th and total bone strength to the same extent as D-PTH

「きこえとことばの相談室」報告

実践報告Practical report　言語聴覚学科は，学生に対する臨床教育を目的に，2009 年3 月に「きこえとことばの相談室」（以下:相談室）を開設した．2009 年3 月の開設から2014 年10 月末までの相談室の活動実績は，新規数：63名，継続数：53 名．総臨床件数612 件．臨床実数は，100 ～ 120 件で定着していた．開設当初の目的であった演習協力には至っていないが，教育活動，研究活動，臨床指導等に貢献している．今後は，言語聴覚療法の対象障害の拡大（失語症等），教育及び地域貢献の一環としての発展が望まれる．　In the Division of Speech-Language-Hearing Therapy, we established an outpatient counselingroom for hearing and language therapy in March of 2009 with the aim of providing clinical education for the students. From March 2009 to end of October 2014, the total numbers of counselings amounted 612 cases (63 new cases, 53 follow-up cases). The number of clinical cases was stable, between 100 and 120. Although it had little therapeutic impact, which was its original purpose, it has been contributing to education and research work. We expect it to expand to include disorders of speech-language-hearing therapy such as aphasia, etc., and as a part of the educational and regional contribution