call is widely used as a notification system in hospital ward. Not only the call from the patient but also the warning from the bedside monitor have been incorporated into the call. However, too many alarm calls make inability to cope with a call. And the risk of medical accidents is increased. In this study, we analyze and call response time, the study of risk of delay corresponding to the call. As a result, it was found that the trend of response time of calls.

抄録全体を表示

Background Emotional intelligence (EI) refers to a person’s ability to acknowledge the feelings of oneself and others, and to control those feelings so as to behave in a socially acceptable manner. We investigated the relationships between the characteristics of EI among

managers, and their perceptions of how much their position’s roles and responsibilities can be delegated to other staff members.

Methods We surveyed 150

managers working at 30 hospitals by using an anonymous questionnaire. The questionnaire consists of basic attributes, EI and work perception. The emotional intelligence scale (EQS) domain scores were analyzed by means of one-way repeated-measures analysis of variance. EQS scores were compared with corresponding averages for working adults in the instructions. The perceived importance of duties of managers was compared between the resulting EQS scores ‘High’ and ‘Low’ groups.

Results The analysis population consisted of 105

managers. Their EQS scored higher in all three domains, and with the exception of Altruism for all factor scores than the average for working adults. The perceived importance of the typical duties of managers were compared between the High and Low groups for each EQS domain. Significant differences were observed between managers with High and Low Intrapersonal emotional quotient (EQ) on four tasks. No significant differences were found for any of the responsibilities when managers with High and Low Interpersonal EQ or Situational EQ were compared.

Conclusion The

managers’ average EQS scores were higher in all areas. The high scores that were exhibited by could be considered desirable qualities for managers. It seemed managers with high scores in intrapersonal EQ struck a good balance between placing importance on EI considerations like managing relationships and creating a comfortable workplace, and management and leadership behaviors like department management and operations and data management.

抄録全体を表示

The purpose of this paper is to study on Public Health that facilitate community making by participation and partnership. I carried out a questionnaire survey that correspond to Public Health everyone of Hokkaido from a view point of community making. As a result, a Public Health have a strong interest for community making, but that the interest is not done sufficient with a jab. I understood that other sorts of occupations and besides that have scarcely comprehension and recognition to a Public Helth . And the coordinator who coordinates the work of public health and other works is necessary, and so on.

抄録全体を表示

With the global

shortage, identifying work environments that allow nurses to continue working is a common concern worldwide. This study examined whether a better work environment (1) is associated with reducing nurses’ psychological distress; (2) reduces resignations; (3) weakens the influence of psychological distress on their resignation through interaction effect; and (4) whether psychological distress increases turnover. Multilevel logistic regression analyses were performed using data obtained in 2014 from 2,123 staff nurses from a prospective longitudinal survey project of Japanese hospitals. The work environment was measured by the Practice Environment Scale of the Nursing Work Index (PES-NWI) consisting of five subscales and a composite, and psychological distress by K6. All the PES-NWI subscales and composite (ORs 0.679-0.834) were related to K6, significantly. Regarding turnover, K6 had a consistent effect (ORs 1.834-1.937), and only subscale 2 of the PES-NWI had a direct effect (OR 0.754), but there was no effect due to the interaction term. That is, (1) and (4) were validated, (2) was partly validated, but (3) was not. As better work environment reduces K6 and a lower K6 decreases nurses’ resignation, high-level hospital managers need to continue improving the work environment.

抄録全体を表示

  The object of this study is to reduce the number of the bacteria sticking to the

wears in order to prevent the hospital acquired infection. Some reforms of the wears were attempted. First, the belts and the chest pocket were taken away and, instead, a new small pocket for pencils was placed on the left sleeve. Second, the position of the buttons was changed from the front to the left. Third, the opening of the side pocket was changed from the bias line to the straight line. Five nurses were to wear the newly -designed wears for three days and then, the number of bacteria was compared between the old and the new wears. The result showed that the number of bacteria on the new wears was significantly smaller than that on the old ones.

  Next, the newly-designed

wears of antibacterial material were compared with those of non-antibacterial material. No significant difference was observed between the two in terms of the number of bacteria. However, there was a significant effect when the antibacterial aprons were used together with the antibacterial wears.

抄録全体を表示

Nosocomial infections are a great problem in the health care facilities. The white uniforms of nurses are often washed to keep them clean, but the 's caps are not washed as frequently in comparison. It could be that the importance of these caps is being overlooked. If these caps are providing a residence for microorganisms causing nosocomial infection in the health care facility, then they should be washed as frequently as the uniforms. So far, the relationship between the contamination of the 's caps and nosocomial infection has not yet been studied. Therefore, this study was conducted to confirm if relationships exist among factors regarding the number of microorganisms on the 's caps, the period in which caps were used without being washed, and the individual characteristics of wearing the caps. Results showed that the degree of contamination of the 's caps depended on individual characteristics and the period of use. Finally, results led to the conclusion that the 's caps should not be worn if their only purpose is to symbolize female workers in the health care facilities because, in actually, they provide a resistance for microorganisms causing nosocomial infections.

抄録全体を表示

In the implementation of the policy for the elderly, the nurses who have the competency to pull out their potential power to continue living with several stakeholders' support are required to provide care in the community. Community

in Thailand has the responsibility to deliver adequate medical care and also social care for the elderly. The study aimed to identify the role of community in the implementation of Thai health policy for the elderly. Codes regarding the role of community in the implementation of Thai health policy for the elderly were extracted from descriptive data interviewed with 15 policy implementors in Thailand. The codes were categorized by similarities using thematic analysis. The role of community was 16 categories and 102 codes out of factors promoting implementation of Thai health policy for the elderly, with 27 categories and 416 codes. The main roles were Coordination, Service delivery, and Monitoring and evaluation, composing seven categories and 45 codes, eight categories and 51 codes, and one category and six codes, respectively. It was conspicuous in coordination mechanisms, especially between the organizations and disciplines in providing Primary Health Care. Both health promotion activities and medical treatment were crucial roles for community nurses. The role of community was one of promoting factors of Thai health policy for the elderly. The community acts as a lubricant between the hospital and the community, which means that the community implements seamless service delivery for the elderly integrating medical care and welfare.

抄録全体を表示

call system transmit the information from the biological sensors and the call button to the . The information from the call is effective to grasp the condition of the patient. However, too many alarms cause the delay corresponding to the call. The author thought that analyzing the log of -call is applied to improve the reliability of call. We will report the progress of this research, which is the result of the analyze of the record of call, and the relationship of the parameters which contains in the log.

抄録全体を表示

In recent years, big data are utilized in many industries. In this study, in order to analyze duties of the nurses, we performed experiments to collect the duties activity data of the nurses for a long term. We set 38 nurses as subjects and asked them to carry out duties while attaching a wearable small sensor device, and collected the acceleration data, meeting information between nurses and the duties information. In addition, we collected the location information of the nurses by using infrared information and communication equipment at the same time. From various data collected, we analyzed intensity and positional information of duties activity of the , meeting information and the duties information between nurses and considered the influence that each factor affected to the . As the result, we found that intensity of the activity increases in such nurses as who has many times of meeting with other nurses, visits the patient room many times, or who works on jobs concerning with the assistance of the patients such as rehabilitation assistance duties or the activity assistance duties.

抄録全体を表示

本研究は,保母ザル同居が離乳(母子分離)後の子ザルの心理的ストレスに及ぼす影響を検討するために行われた。4頭の幼体カニクイザルを生後17～20週で実母から分離し,未知の成体雌ザル(保母)と1ヵ月間同居させ,分離した。実母との分離1週間前から1週間毎に採血を行い,その直前の子ザルたちの行動がスコアー化された。3頭の子ザルで,実母,保母,いずれの分離際にもコーチゾル濃度の上昇が見られた。内1頭は高頻度の抑欝行動を現し,それは血中コーチゾル濃度と高い正の相関を示した。さらにその体重は14%減少した。遊びの多く見られた子ザルはコーチゾルの増加は見られなかった。今後,保母の同居しない子ザルとの比較が必要である。

抄録全体を表示

In this paper, we propose an effective mutation operators for Cooperative Genetic Algorithm (CGA) to be applied to a practical Scheduling Problem (NSP). The scheduling is a very difficult task, because NSP is a complex combinatorial optimizing problem for which many requirements must be considered. In real hospitals, the schedule changes frequently. The changes of the shift schedule yields various problems, for example, a fall in the nursing level. We describe a technique of the reoptimization of the schedule in response to a change. The conventional CGA is superior in ability for local search by means of its crossover operator, but often stagnates at the unfavorable situation because it is inferior to ability for global search. When the optimization stagnates for long generation cycle, a searching point, population in this case, would be caught in a wide local minimum area. To escape such local minimum area, small change in a population should be required. Based on such consideration, we propose a mutation operator activated depending on the optimization speed. When the optimization stagnates, in other words, when the optimization speed decreases, the mutation yields small changes in the population. Then the population is able to escape from a local minimum area by means of the mutation. However, this mutation operator requires two well-defined parameters. This means that user have to consider the value of these parameters carefully. To solve this problem, we propose a periodic mutation operator which has only one parameter to define itself. This simplified mutation operator is effective over a wide range of the parameter value.

抄録全体を表示

子葉, 根及びカルスをナースとして用い, ダイコン (品種: 白姫) のプロトプラスト培養を行った. プロトプラストは, 無菌的に発芽させた幼植物体の子葉及び幼葉から酵素処理によって単離した. 酵素処理は, 40rpmで3時間振蘯を行った. その結果, MS培地を用いて子葉, 根をナースとした場合の細胞分裂率はこれまで報告された十字花科作物などの結果とほぼ同じであった. また, 子葉及び根をナースとした場合の細胞分裂率及びコロニー形成率はカルス及び無ナースの場合よりも有意に高い値を示した. さらに, 子葉ナースは根ナースよりも細胞分裂率及びコロニー形成率が高い傾向を示し, カルスナースは無ナースよりも細胞分裂率及びコロニー形成率が高い傾向を示した.
コロニー由来の黄色ないし緑色カルスから, 培養30日後に zeatin 2.0mg/l+kinetin 2.0mg/lのホルモンの組み合わせで13.2%, BA1.0mg/l+kinetin 2.0mg/lのホルモンの組み合わせで18.5%の幼芽が分化した. 同じ zeatin 及びBA濃度と kinetin 濃度1.0及び3.0mg/lの組み合わせでは, 幼芽分化率は10%以下に低下した. このことは, 幼芽形成に有効であるとされている zeatin とBAの効果が kinetin の濃度によって影響されることを示唆している.
本研究の結果は, 作物の中で比較的に困難とされているダイコンのプロトプラスト培養, さらに植物体再生の改良に知見を与えるものである. 今後の課題は, これらの知見を基にして細胞融合, 形質転換植物体の育成を検討することである.

抄録全体を表示

The widely disputed issue over foreign and certified care-worker candidates under the Economic Partnership Agreements in Japan seems endless. To establish more sustainable Economic Partnership Agreements, we should discuss the issue from a holistic perspective through cross-sectional and longitudinal approaches.
 This article addresses the socioeconomic characteristics and motivations of and certified care-worker candidates who enter Japan under the Indonesia-Japan Economic Partnership Agreement (IJEPA) and the Japan-Philippines Economic Partnership Agreement (JPEPA). The correlation between the socioeconomic characteristics of the respondents and their motivations to work in Japan were examined based on a cross-sectional analysis. In addition, the transition of and certified care-worker candidates is discussed using a longitudinal approach, by comparing the data of previous groups obtained by our research team.
 The results of this study indicate that the socioeconomic characteristics of the respondents differed by country, as well as by occupation. Filipino candidates are more likely to cite economic condition as the reason they chose to go to Japan than the Indonesian candidates. While Filipino and certified care-worker candidates and Indonesian candidates are still predominantly females, a “masculinization of migration” is being observed among Indonesian certified care-worker candidates.

抄録全体を表示

The auxiliary cells, i. e., the cells in the ovary of the sea urchin species,Hemicentrotus pulcherrimus and Heliocidaris crassispina at the early stage of oogenesis served as materials and investigated with particular reference to the glycogen particles by means of light and electron microscopy.
At the beginning of oogenesis in the ovary, the cells show a peak of their development and a positive Pas-reaction. Thereby, the cells are arranged closely being partly connected with the “septate desmosomes” of Wood ('59) and filled up with large numbers of glycogen particles accompanying among them a small number of oil droplets and mitochondria, but few of endoplasmic reticulum and of other organoids and show almost no sign of glycogenesis. Of these cytoplasmic structures, the glycogen particles are identified as a particulate form of glycogen because of their variability in sizes, density as well as affinity for lead hydroxide and others, as recently Reveletal. ('60) noted. The glycogen particles in the present case are of ca.400-600 Å in diameter and of generally spherical or multiangular in shape but associated with no membraneous superficial structure. On the contrary, within the moderate dense amorphous ground substance of the particles a small number of fine particles of high electron density in ca.30-50 Å diameter i. e., the “elemental particles” are perceived.
With the progress of oogenesis in the ovary, however, the cells begin to retract gradually and the glycogen particles in the cells become dissolve to be discharged lastly from the cell surface into the intercellular space. Thereby, on the one hand, the glycogen particles appearing in the superficial cytoplasm begin to fall into a glycolysis being taken up into the small vesicles immediately beneath the plasm membrane and discharged through the cell surface. On the other hand, the other abundant glycogen particles in the deeper cytoplasm become to be broken down to make large dense aggregates of the “elemental particles ” from the glycogen particles. Among the “elemental particles ”, however, the ground substance of the glycogen particles become to dissolve and coalesce to make the ground substance of the large granules, into which a small number of “elemental particles ” right above noted, become to be arranged in concentric lamellar or whirl-like structure of less electron density.
In addition, in the deeper cytoplasm one can perceive often a region with “ heterolamellar structures ” where a few of mitochondria are surrounded with layered and flattened membranes to be swollen to make a large vacuole, containing probably a kind of nutrient substance.

抄録全体を表示

ウスバシロチヨウParnassius glacialisの卵巣の構造と卵形成の過程を光学顕微鏡で観察した.(卵巣)卵巣は結合組織と脂肪体でおおわれ,4つの交互栄養型卵巣小管から構成されている.各卵巣小管はおよそ9mmで,前端より端系(terminal filament),生殖巣(germarium),卵黄巣(vitellarium),卵管柄(pedicel)に分けられる.生殖巣は卵原細胞(oogonium),嚢胞胚(cystoblast),嚢脳細胞(cystocyte),前濾胞細胞(prefollicle cell)を有し,卵黄巣から卵管柄までの間に平均して25の卵胞(egg follicle)が存在し,それらは発達の段階順に一列に配列している.(卵形成)卵胞の発達過程は,嚢胞細胞,卵母細胞(oocyte),栄養細胞( cell),濾胞細胞(follicle cell)の形態的特徴にもとづいて12のステージに分けられる.各ステージにおける卵胞の発達状態は次のようである.ステージ1;嚢胞胚の連続する3回の分裂により,8個の嚢胞細飽か形成され,それらは相互に細胞質の橋で連絡している.ステージ2;嚢脳細胞の1つが後方へ移動して卵母細胞になり,他の7つの嚢胞細胞は栄養細胞になる.卵母細胞-栄養細胞複合体(oocyte- cell complex)は1列に配列し,それらは次第に濾胞細胞でおおわれる.ステージ3;栄養細胞核は急速に成長し,多数のクロマチン粒を含むアメーバ状となる.卵母細胞-栄養細胞複合体は濾胞細胞で完全に包まれ,隣接する複合体から分離される.間もなく,卵母細胞を包む濾胞細胞は円柱状となり,一層の濾胞上皮を形成する.卵母細胞と栄養細胞群との間に濾胞細胞が侵入し,卵胞は卵室(egg chamber)と栄養細胞室( chamber)とに分けられる.ステージ4;卵母細胞は半球状となり,その体積は卵胞全体の1/3になる.栄養細胞から卵母細胞への栄養物質と細胞構成要素の流入が顕著になる.卵母細胞内での栄養物質の蓄積に伴い,卵母細胞核は側力へ押しやられ,仁は崩壊して多数の小片になる.ステージ5;卵母細胞は卵胞全体の1/2の大きさになる.卵胞全体を包む濾胞細胞間に狭い空隙が生じ,卵母細胞の表層域にタソパク性卵黄小球が形成される.ステージ6;卵母細胞は卵胞全体の3/4を占める.卵胞が回転し,その前-後軸は卵管軸に対して45度ほど傾く.卵母細胞の内部に於いてもタンパク性卵黄小球の形成が進む.ステージ7;卵胞はほぼ球形となり,卵母細胞は卵胞全体の6/7に達する.卵母細胞の側方を包む濾胞細胞は大きさを増して立方形になり,その後無糸分裂によって増殖する.ステージ8;直径0.8mmに達した卵母細胞は徐々に扁平楕円体へと変形し始める.栄養細胞群は細胞の前部で圧縮され,退化し始める.栄養細胞室と卵室との間に無糸分裂で増殖した濾胞細胞が侵入する.ステージ9;卵母細胞は0.9×1.1mmの大きさに達し,前-後軸は卵管軸と直交する.栄養細胞核が崩壊し,多数のクロマチン粒を形成する.卵室は濾胞細胞層によって栄養細胞室から完全に分離される.ステージ10;卵母細胞は1.0×1.3mmの大きさに達し,その後極部が扁平となる.濾胞細胞間の空隙が著しく拡大するが,細胞質は細い橋で連絡している.栄養細胞核から生じた大小のクロマチン粒は濾胞細胞に取り込まれる.卵母細胞の成長が終了し,卵黄膜が形成される.ステージ11;卵室は1.0×1.4mmの「まんじゅう」形となり,卵母細胞の表層構造が完成する.濾胞細胞から分泌される卵殻形成物質が卵黄膜上に蓄積し,卵殻の形成が進む.卵母細胞核が第一成熟分裂の中期の状態に入る.ステージ12;卵殻が完成し,0.8×1.4mmに達した卵母細胞は濾胞上皮から離脱し,側輪卵管内へ移行する.

抄録全体を表示

We report the radiation exposure dose received by the anesthesiologist and in the orthopaedic operating room, when a fluoroscopic image intensifier is in use. This study was done in 12 femoral neck fracture operations performed from January to May 1995. Radiation was monitored with the MYDOSE MINIX PDM 107 made by Aloka Co. which were attached in front and behind the 's lead apron, in front of the lead apron of the anesthesiologist. The average imaging time was 9.78min. The average radiation dose in front of the anesthesiologist is lead apron was 2.08μ SV, and in front and behind the 's lead apron were 5.67μ SV, 0.08μ SV respectively. This study and review of the literature indicate that the operating room anesthesiologist and receive a lower exposure than the orthopaedist. We can disregard the problem of radiation exposure to the anesthesiologist and during an orthopaedic operation when they wear lead aprons and stand far from the patient.

抄録全体を表示