学生の持つ意識と教育方法

人の中にある偏見は、その人の対人関係において何らかの悪影響を及ぼしていると思われる。今回看護学生の病気や障害者に対する意識を調査した結果、学生は病気や障害にややネガティブな意識を持っていることがわかった。その原因と考えられるもの、そして今後の教育のあり方について考えた

Fundus autofluorescence and spectral-domain optical coherence tomography findings of leopard spots in nanophthalmic uveal effusion syndrome

金沢大学附属病院眼科Purpose: To describe fundus autofluorescence (FAF) imaging and spectral domain optical coherence tomography (SD-OCT) findings of leopard spots in nanophthalmic uveal effusion syndrome. Methods: A 34-year-old man with retinal detachment associated with nanophthalmic uveal effusion syndrome in the right eye underwent sclerotomy three times. After the final surgery, the subretinal fluid resolved gradually. Then, SD-OCT examination, FAF photography, fluorescein angiography (FA), and indocyanine green angiography (ICGA) were performed simultaneously with the spectralis Heidelberg retina angiograph + OCT system. Results: SD-OCT revealed focal thickening of the retinal pigment epithelium (RPE) layer at the same locations as leopard spots, which appeared hypofluorescent on FA and ICGA. These spots showed hyperautofluorescence on FAF imaging. Six months later, focal thickening of the RPE layer became smaller on OCT and hyperautofluorescence was attenuated on FAF imaging. Conclusions: Simultaneous imaging of the fundus with multiple modalities including OCT, FAF, FA, and ICGA indicates that leopard spots in the fundus of uveal effusion syndrome may show hyperautofluorescence and correspond to focal thickening of the RPE layer by SD-OCT. This imaging method may help elucidate the pathology of various fundus lesions in vivo. © 2010 Springer-Verlag

家族援助に対する看護者の意識調査(第1報) : 質問紙の作成過程

平成8年度の医療施設内で働く看護者の聞き取り調査から、看護者の家族援助に対する考え方の示唆を得た。今回はその結果を基に、看護者の家族および家族援助に対する考え方を明らかにするための質問紙を作成した。質問紙の作成過程を報告する

Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update

Sarcopenic dysphagia is characterized by weakness of swallowing-related muscles associated with whole-body sarcopenia. As the number of patients with sarcopenia increases with the aging of the world, the number of patients with sarcopenic dysphagia is also increasing. The prevalence of sarcopenic dysphagia is high in the institutionalized older people and in patients hospitalized for pneumonia with dysphagia in acute care hospitals. Prevention, early detection and intervention of sarcopenic dysphagia with rehabilitation nutrition are essential. The diagnosis of sarcopenic dysphagia is based on skeletal and swallowing muscle strength and muscle mass. A reliable and validated diagnostic algorithm for sarcopenic dysphagia is used. Sarcopenic dysphagia is associated with malnutrition, which leads to mortality and Activities of Daily Living (ADL) decline. The rehabilitation nutrition approach improves swallowing function, nutrition status, and ADL. A combination of aggressive nutrition therapy to improve nutrition status, dysphagia rehabilitation, physical therapy, and other interventions can be effective for sarcopenic dysphagia. The rehabilitation nutrition care process is used to assess and problem solve the patient’s pathology, sarcopenia, and nutrition status. The simplified rehabilitation nutrition care process consists of a nutrition cycle and a rehabilitation cycle, each with five steps: assessment, diagnosis, goal setting, intervention, and monitoring. Nutrition professionals and teams implement the nutrition cycle. Rehabilitation professionals and teams implement the rehabilitation cycle. Both cycles should be done simultaneously. The nutrition diagnosis of undernutrition, overnutrition/obesity, sarcopenia, and goal setting of rehabilitation and body weight are implemented collaboratively

家庭訪問実習の満足度の要因分析 : 学生と訪問対象者のアンケート調査より

看護基礎教育の初期に行う基礎看護実習I（1年次後期）に、大学周辺の家庭を実習場とする家庭訪問実習を実施してきた。実習終了後に実施した調査では、学生・訪問対象者の双方が実習体験について満足と回答していた。学生・訪問対象者が実習のどこに意義を見いだし、満足と回答したかを明らかにするために、満足度に影響したとみられる要因を分析した。その結果、家庭訪問実習は学生の実習目標の達成に加えて、学生と地域の人々の相互理解、交流の場となっていた。また、訪問を受けた人々にとっては、看護・看護教育への関心を積極的に引き寄せる機会となっていたことが示唆された

BACH2 regulates CD8(+) T cell differentiation by controlling access of AP-1 factors to enhancers.

T cell antigen receptor (TCR) signaling drives distinct responses depending on the differentiation state and context of CD8(+) T cells. We hypothesized that access of signal-dependent transcription factors (TFs) to enhancers is dynamically regulated to shape transcriptional responses to TCR signaling. We found that the TF BACH2 restrains terminal differentiation to enable generation of long-lived memory cells and protective immunity after viral infection. BACH2 was recruited to enhancers, where it limited expression of TCR-driven genes by attenuating the availability of activator protein-1 (AP-1) sites to Jun family signal-dependent TFs. In naive cells, this prevented TCR-driven induction of genes associated with terminal differentiation. Upon effector differentiation, reduced expression of BACH2 and its phosphorylation enabled unrestrained induction of TCR-driven effector programs

“Feeling of psychotherapeutic drug” of people with schizophrenia

research repor

在宅療養に関連する要因の分析

出雲市のT地区の20歳以上を対象に、在宅介護・療養についてのアンケート調査を行い、在宅療養に関連する要因の検討を行った。在宅療養の希望と本人の状況、家族の状況、介護への関心・知識・体験との関連を検討したところ、性別、年齢、入院経験、福祉についての知識において有意の関連がみられた

家族援助に対する看護者の意識調査(第3報) : 看護者の意識に影響を及ぼす因子

家族援助を推進するための課題を明らかにするために、看護者の家族援助に対する意識調査を質問紙を用いて行った。看護者の家族援助に対する役割意識の強さと性別・経験年数・所属・職位の4項目の関連を分析した。その結果、看護者の家族援助に対する役割意識に影響していた因子は性別と職位であった。看護者の家族援助への動機づけは、経験や所属場所によるものではなく、個人の意識によるところが大きく、教育的な介入の重要性が示唆された