http://hdl.handle.net/10564/1252 2010-08 2026-04-10T15:44:00Z http://hdl.handle.net/10564/1200 タイトル: THE PAST, PRESENT AND FUTURE OF A COMMUNITY SUPPORT SYSTEM FOR CHILDREN WITH DEVELOPMENTAL DISORDERS IN MIYAKE TOWN : FOCUS ON LESSONS LEARNED AND NEEDS FOR THE FUTURE 著者: Irie, Yasuko; Ota, Toyosaku 抄録: Introduction Support for early detection and intervention for developmental disorders in children as well as support that provides assistance for their families is vital for the establishment of community support systems for children with developmental disorders. We investigated the structure of a community support system in Miyake Town, Nara Prefecture, based on these two perspectives and examined the needs that may arise in future. Methoas Using a participatory action research framework, we interviewed community health nurses involved in establishing community support systems for children with developmental disorders, collected records of past community support activities and observed participants. Results The conrmunity support system for children with developmental disorders in Miyake Town included the following 4 phases: 1) health examinations for infants; 2) first-stage intervention classes; 3) second-stage intervention classes, and 4) a network of people as a part of the community support system. Infants specifically suspected of a developmental disorder were screened during medical examinations when aged 1.5 years. Children subsequently participating in first-stage intervention classes were observed in second-stage intervention classes during kindergarten, if needed, and received continual support after entering elementary school. Of the children who participated in second- stage intervention classes, 75% were found or suspected to have developmental disorders when aged 1.5 years, and 62% had participated in first-stage intervention classes. Families of such children communicated problems in daily life associated with these disorders to a community support staff member, which promoted the establishment of a conrmunlty support system. Conclusions 1) Medical examinations of 1.5-year-old infants and children participating in first-stage intervention classes are important for the early detection of developmental disorders and for establishing community support systems for such children. 2) Families of such children are strengthened through the community support system. The bond formed between parents during first- and second-stage intervention classes has been a factor. 2010-08-30T15:00:00Z http://hdl.handle.net/10564/1199 タイトル: EFFECTS OF AROMATHERAPY FOR SELF-CARE DURING PREGNANCY 著者: Igarashi, Toshiko; Fujita, Mineko 抄録: Stress reduction care is important for pregnant women to decrease obstetric complications and children's health problems after birth. We investigated the long-term effects during pregnancy of daily self-care with aromatherapy using essential oils containing linalyl acetate and linalool. We randomly assigned 16 healthy pregnant women into an aromatherapy group and a control group. Nine participants were assigned to the aromatherapy group and seven participants to the control group. Intervention was started at 28 weeks of pregnancy and the results were assessed at 32 and 36 weeks of pregnancy as well as during childbirth. We conducted a comprehensive assessment using State-Trait Anxiety Inventory (STAI) and Visual Analogue Scale (VAS) as subjective questionnaire surveys and autonomic nervoqs activity from heart-rate variability as objective physiological indicators as well as the results of childbirth. The STAI traits showed significant aromatherapy effects (p＜0.05) for reducing anxiety. Moreover, a dose- response relationship was observed which demonstrated a significant difference (p＜0.016) within the aromatherapy group for the relaxing effects by VAS. This study revealed that it is effective to reconrmend self-care using aromatherapy with essential oils containing linalyl acetate and linalool for the purpose of reducing anxiety and providing relaxation over the long term during pregnancy. However, it is necessary to conduct further studies with an increased number of participants to investigate the effects on the autonomic nervous system and the effects on childbirth. 2010-08-30T15:00:00Z http://hdl.handle.net/10564/1198 タイトル: ダブルバルーン小腸内視鏡検査の現状 著者: 辻本, 達寛; 藤井, 久男; 福井, 博 抄録: ダブルバルーン内視鏡による小腸の内視鏡診断と治療の現況について,自験例を含 めながら概説した.最近まで「暗黒大陸」,「未知の臓器」などと言われていた小腸は,カプセル 内視鏡とダブルバルーン内視鏡の登場を契機に,内視鏡診断や内視鏡治療が可能となり,小腸 疾患の診療体系が大きく変化してきている.当院では2008年5月よりダブルバルーン内視鏡, 2009年4月よりカプセル内視鏡を導入し小腸疾患の診療を行っている.それに伴い新たな問題 点も出現してきた.今後さらなる症例の集積と機器の改良に伴い,より効率的な診断と治療が 可能になると思われる.ダブルバルーン内視鏡検査は安全性についても十分な配慮が必要であ りその標準化が望まれる. 2010-08-30T15:00:00Z http://hdl.handle.net/10564/1197 タイトル: 医療従事者にとっての心肺蘇生法 著者: 河野, 安宣; 古家, 仁 抄録: 一般市民が心肺蘇生法を実施し救命できたという報告が相次いでいる.この社会的 背景の中,医療従事者として心肺蘇生法に関する知識はもちろんのこと実践,教育,普及活動 などにやはり精通していることが望ましく,心肺蘇生法の最新のガイドラインの内容や科学的 根拠は知っておくべきである.心肺停止患者に対して求められることは,良質なCPRであり, 特に胸骨圧追の重要性が強く言われている.院内心肺停止患者に対しても同様に,良質なCPRが 重要で,心原性心停止に関しては除細動器で対応可能かもしれない.ただ,AEDがあればその 初期対応はより迅速になる可能性がある.AEDの配備と教育に重点を置くほうが,院内の急変 時の対応能力は向上すると考えられる.もちろん,AEDの配備だけでは十分ではなく,病院と いう組織全体として取り組むべきことは,急変時対応や心肺蘇生法についての病院スタッフへ の教育活動であると考えられる. 2010-08-30T15:00:00Z