本研究は，夢の構造分析を日本人のクライエントの事例と西洋人のクライエントの事例に適用することにより，夢の構造に関する特徴と夢の中の私の果たす役割について検討する予備的な研究である。夢の構造分析は，ユング派の分析家たちが治療場面で主観的に実感していた夢の構造の持つ意味を客観的に示すために，ユング派の分析家Roeslerによって考案された。夢系列には対象との関係の中で夢の中の私が主体的に成長するというテーマが一貫して繰り返され，夢系列の終盤には夢の中の私による死と再生のプロセスの体験が出現するという特徴が，両事例に共通して示された。しかし夢の中の私が主体的に成長するあり方，死と再生のプロセスの体験の仕方には違いが示唆された。

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個人が他者との関係から切り離せない文化において，心理的に大人になるという作業は，西洋とは異なる形で解決されうるのではないだろうか。それを明らかにするため，本研究では，日本の20代男性の心理療法事例を取り上げて検討した。彼は自身を発達障害と疑っていたが，彼の問題は，ガイドしてくれる誰かに頼ろうとする受動的なあり方であると考えられた。その背景には，母との結びつきと，子どもの心理的ステータスを手放すことへの抵抗があった。母からの心理的な分離が達成された頃，それと呼応するように，周囲の働きかけが成人のステータスへの加入を促した。クライエントが内的に変化し，能動的であると同時に受動的でもある主体となっていく過程で，他者からの働きかけとの「協応」がコンステレートされるのが，相互協調的な自己の実現の一形態であると考えられた。

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1991年から2000年の10年間に，84名の摂食障害患者（神経性食思不振症［AN］53名，神経性過食症［BN］31名）が，心理療法セッションにおいて，自身の病いの経験と夢について語ることを勧められた。12名の女性の患者（AN8名，BN4名，14歳から28歳）が研究協力者となった。これらの患者は8ヶ月から6年間経過観察され，全例が寛解に達するか，明らかな病状の改善を認めた。322編の夢の語りが収集され，物語分析法により質的に分析され，カテゴリー化された。研究協力者から報告された夢語りのテーマと構成概念は，以下のようなキーワードによって描写することができた。「孤立／混乱／自我同一性の喪失」「旅」「試練」「異界」「自己解体」「死と再生」。比喩的に言えば，研究協力者のメタ・ナラティブは，通過儀礼，変容，死と再生といったテーマに関連しており，それを通じて真の自己が実現される一種の「探求の物語」として描写可能であった。結論として，個人レベルの人生の物語だけではなく，超個人的あるいは元型レベルの物語を共有することが，摂食障害の患者を理解し，治療的に寄り添うことを続けるために重要である。

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We have developed a tele-diagnosis system of echography (tele-echography system)using an Echographic Diagnosis Robot. The examiner moves the robot by using a control device at a distance from the patient and obtaining the echogram and the situation around the patient. The examiner and the patient locations are connected by a wireless local area network. Remote control is realized by the Object Request Broker (ORB) technique. We experimentally verified possibility of our system for clinical use. The robot was safe and stable even when there was slight movement of the patient and an adult patient never felt any discomfort due to the robot weight. Remote diagnosis of echograms was proved to be possible with sufficient image quality after a skilled examiner got used to controlling the robot. Since the required bandwidth of this system was at most 1Mbps, we confirmed the ability of this system for mobile robotic telemedicine.

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通常の相関係数は要素間の相関はわかるが、その因果関係を含めた方向性まではわからない。ところがVC 相関を用いると、その要素間の相関とともにその方向性まで推定することができる。これまで、このVC 相関を金融やその他分野に応用してきた。日米株式相関・為替レートの間の方向性、日中と夜間の収益率の相関、また金融以外への応用として遺伝子制御関係の推定にもこのVC 相関を応用した。最新の財務データへの応用も含めて、VC 相関のメトリックとして優れた点と展望を検証する。

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As masked depression (MD) and the climacteric syndrome manifest closely interrelated symptoms, it is difficult to make a clinical differentiation between these disease, especially when climacteric, psychosomatic disorders are involved. This inverstigation was concerned with a clinical evaluation of the symptomatology of MD in comparison with a parallel study of the climacteric syndrome of PSD type. Our results revealed the following characteristics in the MD patients, which we think may be of value in making the differential diagnosis of these two problems. First, in the MD patients, complaints included depression, inability to function adequately and a high degree of nonspecific anxiety. These strictly psychological complaints were highly prominent. The somatic complaints inclused marked fatigue sensations in the morning and varying degree of insomnia at night. Furhermore, these patients manifested diurnal variations, in which their condition was most severe in the morning with progressive improvement toward the evening. Among the various evaluation tests, the MD score are significantly higher in patients with MD. Logginess and headache were prevalent in both MD and the climacteric syndrome of PSD type, with an incidence of 80% and 95% respectively. Thus the checking of these symptoms seemed questionable in making the differential diagnosis.

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In Mobile Ad hoc Networks (MANET) geographic routing is characterized by local forwarding decision. Links with a long progress are preferred under the greedy forwarding rule. However in a real system long links tend to have a high packet loss rate due to multipath fading. A sub-optimal solution may separately exploit path diversity or rate adaptation. In this paper we study channel efficiency of multi-hop forwarding and try to jointly optimize rate adaptation and forwarder selection in geographic routing by the tradeoff between progress and instantaneous rate. We define a new metric-Bit Transfer Speed (BTS)-as the ratio of the progress made towards the destination to the equivalent time taken to transfer a payload bit. This metric takes overhead, rate and progress into account. Then we propose a packet forwarding scheme that Opportunistically exploits both long Progress and Adaptive Rate (OPAR) by a cross-layer design of routing and MAC. In OPAR each node selects for a packet the forwarder with the highest BTS. The forwarder changes as local topology (progress), packet size (overhead ratio) or channel state (data rate) varies. Simulation results show that compared with the normalized advance (NADV) [7] scheme and contention-based forwarding (CBF) [17] scheme, OPAR has lower packet loss and can effectively reduce channel occupation time by over 30% in the scenario with moderate mobility speeds.

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The Japanese edition of Profile of Mood States (POMS), translated from the original version (65 items) by McNair et al. (1971), was first applied to a 34-year-old female patient with depression (7 times) and a 25-year-old female patient with anxiety neurosis (3 times) during their treatment. Six mood scales were measured : "Depression-Dejection, " "Vigor, " "Anger-Hostility, " "Fatigue, " "Tension-Anxiety" and "Confusion." The same 6 scales were assessed using the Schedule for Affective Disorders and Schizophrenia (SADS). The POMS scores correlated well with the SADS scores reflecting clinical episodes in both cases, except for the "Vigor" in the anxiety neurosis case. Our preliminary results indicate that the Japanese edition of POMS may be a good indicator of the mood changes in patients during their clinical time course. However, the reliability and validity of the test must be assessed statistically with patients with different disorders before the test is applied widely in Japan.

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Optimal glycemic control remains challenging and elusive for many people with diabetes. With the comprehensive clinical evidence on safety and efficiency in large populations, and with broader reimbursement, the adoption of continuous glucose monitoring (CGM) is rapidly increasing. Standardized visual reporting and interpretation of CGM data and clear and understandable clinical targets will help professionals and individuals with diabetes use diabetes technology more efficiently, and finally improve long-term outcomes with less everyday disease burden. For the majority of people with type 1 or type 2 diabetes, time in range (between 70 and 180 mg/dL, or 3.9 and 10 mmol/L) target of more than 70% is recommended, with each incremental increase of 5% towards this target being clinically meaningful. At the same time, the goal is to minimize glycemic excursions: a recommended target for a time below range (< 70 mg/dL or < 3.9 mmol/L) is less than 4%, and time above range (> 180 mg/dL or 10 mmol/L) less than 25%, with less stringent goals for older individuals or those at increased risk. These targets should be individualized: the personal use of CGM with the standardized data presentation provides all necessary means to accurately tailor diabetes management to the needs of each individual with diabetes.

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