看護基礎教育における学生参画支援ソフトウェア“ECILS”の評価と携帯電話に対するイメージ

看護学科2年次生80名と専攻科 : 地域看護学専攻30名の学生の携帯電話に対するイメージや利用状況を明らかにするとともに、看護学科2年次生の講義に携帯電話を活用した参画支援ソフトウェア“ECILS”を活用し、評価した。その結果、学生全員が携帯電話を持っており、便利に活用していると思われるが、養成課程の違いにより不安の内容等に違いが見られた。また、 “ECILS”を活用した評価は、 ラベル新聞の評価が最も高かった。今後も、 “ECILS"をより使いやく改善するとともに、学生に利点や活用方法を伝えることが必要である。また、学生・教員ともに自己教育力が培われることが推祭された

看護教育に携帯電話を活用した参画支援ソフトウェア”ECILS”によるeラーニングの試案

看護教育において、株式会社エネックスが開発した携帯電話を利用した参画支援ソフトウェア“ECILS”を活用するシステムを試案した。 “ECILS”の機能は①リアルタイムアンケート集計、②メッセージコミュニケーション、③出席管理、④簡易理解度測定（小テスト）、⑤課題提出、⑥連絡網、⑦メッセージ検索である。“ECILS"をうまく活用することで、学生の学習意欲の向上が期待でき、参画力が身に付くことが推察される。携帯電話による利便性から情報管理や情報活用の広がりがあり、教員の授業支援と教育力向上に寄与するシステムでもある

看護基礎教育における無線LAN環境の構築と活用

“eポートフォリオによる自己教育力の育成 : モバイル端末を活用した参画型看護基礎教育で培うキャリア形成”が文部科学省平成20年度「質の高い大学教育推進プログラム」に選定され、キャンパス館内に無線ローカルエリアネットワーク（LAN）環境を構築した。それにより、平成21年4月から、従来の設置型パソコンを用いた有線LANに加え、モバイルパソコンを用いた無線LANの活用が可能となった。今回は、島根県立大学短期大学部・出雲キャンパスにおいて構築した無線LANの概要とその環境下における看護基礎教育における活用について紹介する

経皮的腎瘻を造設した水腎症合併進行癌症例の検討

経皮的腎瘻(PNS)を造設した水腎症合併進行癌症例33例を対象に, 原疾患の種類, PNS造設前のperformance status(PS), PNS造設後の在宅期間, カテーテル交換回数, カテーテルの種類, 合併症について調べた.その結果, 生存期間中央値は3.0ヵ月であった.全症例の69.7%は退院が不可能であった.30例は原疾患により死亡していた.原疾患別の生存期間中央値は上部消化管癌, 大腸癌, 泌尿器科癌, 婦人科癌でそれぞれ1.5, 5.5, 3.0, 3.0ヵ月であった(p=0.0116).18例(54.5%)で腎盂腎炎, カテーテル閉塞, カテーテル抜去などの合併症を経験していた.カテーテルの種類と合併症頻度に関連は見られなかった.以上, PNSは水腎症合併進行癌症例に対し適した尿路変向術であり, 一側の造設により致死的な腎後性腎不全を回避できる.しかし必ずしも患者のQOL改善は期待できず, いかなるカテーテルを用いても合併症のリスクは不可避であると考えられたWe investigated the clinical courses of 33 patients with advanced malignancies who has undergone percutaneous nephrostomy (PNS) to clarify the efficacy and validity of PNS and evaluated the results according to the type of catheter. The pigtail, Malecot and balloon catheters were used. All the catheters were exchanged every 4 weeks, if necessary for larger ones. The site of the primary disease, preoperative performance status, duration of time spent at home after PNS construction, number of times the catheter was changed, type and size of the catheter and complications associated with PNS were compiled. The median overall survival was 3.0 months. Twenty-three patients (69.7%) were never discharged from hospital. Thirty patients died of their primary diseases. The median overall survival of patients with cancers of the upper gastrointestinal system, large bowel, urological organs and gynecologic organs were 1.5, 5.5, 3.0 and 3.0 months, respectively (p=0.0116). Eighteen patients (54.5%) experienced complications such as pyelonephritis, obstruction, dislodgement and so on. PNS is an appropriate urinary diversion for patients with hydronephrosis with advanced cancer and unilateral construction is effective for treating end-stage obstructive renal failure. However, PNS rarely improves the patient's quality of life and the risk of complications is unavoidable regardless of the type of catheter used

Treatment for female patients with eating disorders in the largest medical prison in Japan

The number of offenders with eating disorders in women's prisons in Japan has grown annually over the last 15 years. Women's prisons have experienced significant difficulties in the management of patients with eating disorders who have body-critical complications arising from low body weight, in addition to behavioral problems. Patients in Japan's 185 correctional facilities who display high refractoriness or who present a physical risk are transferred to the Hachioji medical prison, a national specialty hospital operated by the Ministry of Justice. The medical prison must manage any psychosomatic problems necessary for the safety of inmates regardless of a patient's wishes. The most common conviction resulting in imprisonment of women with eating disorders was shoplifting (n = 44; 63%), with the second most common being drug-offenses (n = 17; 24%). While shoplifting is of concern in relation to eating disorders, a causal relationship remains unclear. Most patients in the shoplifting group did not have histories of antisocial and/or impulsive behaviors such as drug abuse, sexual deviation, self-injury, or other criminal activity. Instead, shoplifting appears to be an obsessive-compulsive behavior deeply rooted in the psychopathology of severe eating disorder patients. Patients in this group tended to have histories of relatively high education and steady employment, although most also had histories of prolonged eating disorders and unstable treatment. Although adherence to treatment was poor among patients with eating disorders in the medical prison, body weight and behavioral problems improved following treatment in the special compulsory environment, without severe sequelae or patient death. The Ministry of Justice recently established another specialized ward for the care for female patients with eating disorders. If greater emphasis is placed on early-stage, protective, medical treatment, the number of patients with eating disorders in prisons may decrease. Further research is required to investigate the relationship between shoplifting and eating disorders

Photoelectron Spectroscopy of Molecular Anion of Alq3: An Estimation of Reorganization Energy for Electron Transport in the Bulk

A molecular anion of tris(8-hydroxyquinolinato)aluminum (Alq3) was generated by a pulsed discharge to the solid sample under supersonic expansion and its photoelectron spectrum was recorded after mass selection. The vertical detachment energy of Alq3– and the adiabatic electron affinity of Alq3 were determined to be 1.24 ± 0.01 and 0.89 ± 0.04 eV, respectively. By using these energies determined for monomeric Alq3, the reorganization energy for the intermolecular electron transport in bulk Alq3 was estimated to be 0.70 ± 0.08 eV

Serum cystatin C can be used as a marker of renal function even in patients with intestinal urinary diversion

Objective: Recently, serum cystatin C (CysC) has been used as a novel marker of renal function. However, there is a lack of data on CysC levels in patients with intestinal urinary diversion (UD). Here we report CysC levels in such patients. Methods: We prospectively observed 38 patients who were diagnosed with bladder cancer and subsequently treated with radical cystectomy and UD at our institution in 2012 and 2013. Serum creatinine (sCr) and CysC were obtained optionally at the same time at least 1 month after radical cystectomy and UD. Results: The median CysC and sCr concentrations were 1.12 mg/L (range 0.75–2.47 mg/L) and 0.99 mg/dL (range 0.61–2.22 mg/dL), respectively. The median estimated concentrations of glomerular filtration rate (GFR) based on CysC (eGFRcys) and GFR based on creatinine (eGFRcreat) were 61.08 mL/min/1.73 m2 (range 22.64–99.89 mL/min/1.73 m2) and 58.01 mL/min/1.73 m2 (range 23.48–91.82 mL/min/1.73 m2), respectively. CysC had a significant correlation with sCr (r = 0.8607, p < 0.0001) and eGFRcreat (r = −0.8993, p < 0.0001). eGFRcys also had a significant correlation with eGFRcreat (r = 0.8104, p < 0.0001). Conclusion: The correlation between CysC and sCr was strong and the correlation coefficient was equivalent to that in patients without UD. The results suggest that CysC is not affected by UD and can be used as a marker of renal function similarly to sCr in patients with UD