45 research outputs found
実習記録から捉える基礎看護学実習Ⅱにおける学びの諸相 ―自分自身に関する記述から―
本研究は、基礎看護学実習Ⅱにおける学生の学びの詳細を明らかにすることを目的とし、特に自分自身についての記述に焦点を当てて検討した。研究方法は、基礎看護学実習Ⅱに参加した68名の学生の実習記録簿-日々の記録-、述べ508シートを研究対象とし、質的分析を行った。分析の結果、自分自身に関する記述の内容は【受け持つことへの思い】【患者への対応】【患者からの支え】【知識・技術の不足】【看護に対する姿勢】【自己効力感】【残念・反省】【自己の振り返り】【達成感】【自分の成長・展望】の10のカテゴリーが生成された。それぞれのカテゴリーは、さらに33のサブカテゴリーによって詳細に説明することが出来た。また記述内容は、実習経過とともにネガティブな記述から、ポジティブな記述へと変化していた。ポジティブな記述は、受け持ち患者との関わりの中で得られた思いであった。教員は個々の学生のレベルに合わせた、つまり実習の初期に多く見られるネガティブな記述を踏まえ、「できている」という肯定感を持たせるような指導場面を設定することが重要であると考える
Background Factors Affecting Visual Acuity at Initial Visit in Eyes with Central Retinal Vein Occlusion : Multicenter Study in Japan
Purpose: To determine the baseline characteristics of patients with central retinal vein occlusion (CRVO) that were significantly associated with the best-corrected visual acuity (BCVA) at the initial examination. Methods: This was a retrospective multicenter study using the medical records registered in 17 ophthalmological institutions in Japan. Patients with untreated CRVO (≥20-years-of-age) who were initially examined between January 2013 and December 2017 were studied. The patients’ baseline factors that were significantly associated with the BCVA at the initial examination were determined by univariate and multivariate linear regression analyses. Results: Data from 517 eyes of 517 patients were analyzed. Univariate analyses showed that an older age (r = 0.194, p < 0.001) and the right eye (r = −0.103, p < 0.019) were significantly associated with poorer BCVA at the initial visit. Multivariate analyses also showed that an older age (β = 0.191, p < 0.001) and the right eye (β = −0.089, p = 0.041) were significantly associated with poorer BCVA at the initial visit. Conclusions: The results indicate that an older age, a known strong factor, and the right eye were significantly associated with poorer BCVA at the initial visit to the hospital. These results suggest that functional and/or anatomical differences between the right and left eyes may be involved in these results
Hitomi (ASTRO-H) X-ray Astronomy Satellite
The Hitomi (ASTRO-H) mission is the sixth Japanese x-ray astronomy satellite developed by a large international collaboration, including Japan, USA, Canada, and Europe. The mission aimed to provide the highest energy resolution ever achieved at E > 2 keV, using a microcalorimeter instrument, and to cover a wide energy range spanning four decades in energy from soft x-rays to gamma rays. After a successful launch on February 17, 2016, the spacecraft lost its function on March 26, 2016, but the commissioning phase for about a month provided valuable information on the onboard instruments and the spacecraft system, including astrophysical results obtained from first light observations. The paper describes the Hitomi (ASTRO-H) mission, its capabilities, the initial operation, and the instruments/spacecraft performances confirmed during the commissioning operations for about a month