Acceptability in subjects undergoing EGD

Esophagogastroduodenoscopy (EGD) has become an indispensable examination to discover upper gastrointestinal diseases, including cancer, and perform endoscopic treatment. However, many individuals who undergo the procedure have feelings of anxiety and fear regarding EGD. Although the use of medication for sedation during EGD is useful for reducing anxiety and the stability of hemodynamics, sedation may increase the likelihood of complications. Several noninvasive distractions have been introduced to decrease pain and anxiety during endoscopic examinations ; however, most assessments of these distractions evaluated subjective items such as impression. We herein add the results of our studies using objective items and review the effectiveness of distractions for EGD

Effects of heat treatment on human hair keratin film

5ArticleJOURNAL OF JAPANESE COSMETIC SCIENCE SOCIETY. 37(3):165-170 (2013)journal articl

地域包括支援センターにおける社会福祉士の実践に関する論述と研究の動向

地域包括支援センターには創設以来、その機能と配置されている社会福祉士の実践への期待が寄せられてきた。本論では、地域包括支援センターにおける社会福祉士の実践に関する論述と研究の動向について文献レビューを行った。社会福祉士の課題としては、１. ネットワーク構築や地域への働きかけの困難さ、２. チームアプローチ、連携・協働の不全、３. 組織内体制の未整備、４. 運営へのサポート体制の未整備、５. 専門職としての社会福祉士自身の課題、が指摘されてきたことがわかった。またこれらの背景には地域包括支援センターの組織特性による課題もあり、専門職としての社会福祉士自身の課題とも重なりあっているといった関係性が把握できた。地域包括支援センターの社会福祉士が新たな課題に対応していくにあたっては、課題間の関係性や構造を把握し、それぞれの課題の解決に向けた取り組みをより具体化していくことが必要である。さらに課題を生じさせている要因の検討も必要であり、今後は一層、その要因分析と実践をふまえたより具体的な課題解決に向けた研究が求められる

カプセル内視鏡における画像不良

Recently, there have been some reports of electromagnetic interference during capsule endoscopy（CE）in regards to other medical devices and facility environment. These accidental events have not been analyzed sufficiently although academic societies and related ministries are proposing guidelines with cautious attention. Based on this, detailed analyses and development of solution are required. In this study, we review our experience with cases of accidental events during CE and assessed the causes and preventive solutions. A total of１４９CE cases（male :８９, female :６０, mean age :５６±１８．８）from January ２０１７ until December ２０１９ were analyzed retrospectively. Four cases（２%）with defective images were noted. Detailed events were as follows ;１ disorder of the sensor array, ２ recorder freezes, and １ electromagnetic interference. These mechanical and electromagnetic troubles should be assessed and shared among medical staffs and manufacturers to propose possible solutions and perform CE safely