Health Sciences University of Hokkaido Academic Repository / 北海道医療大学学術リポジトリ
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Self−inflicted Traumatic Ulcerative Granuloma with Stromal Eosinophilia :A Case Report with Psychological Implications
Get PDFTraumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a rare, benign, self−limiting oral mucosal disease. In adults, TUGSE is thought to be caused by trauma from fractured teeth or ill−fitting dental prostheses, although its exact cause remains unknown. Its histological hallmark is diffuse infiltration of granulation of tissue and inflammatory cells with increased capillary vascularity beneath the ulcerated mucosa. The presence of eosinophils has been well−documented in previous reports. TUGSE often resembles squamous cell carcinoma and may arise from self−injury linked to psychological problems. The patient reported here was a 65−year−old female who visited our hospital with ulceration in the left upper gingival area extending to the buccal mucosa. Ulceration occurred after the extraction of her left maxillary molar 6 months before presentation ; she had visited several oral surgeons but did not receive satisfactory treatment. She had repeatedly pricked the extraction socket and its surrounding area with a needle, believing that this was the best treatment to remove ‘unhealthy blood’ from the lesion. This case of TUGSE was caused by self−injury, possibly accompanied by psychological problems. When adults encounter TUGSE, detailed medical interviews and psychological interventions may be crucial.departmental bulletin pape
精神科訪問看護師における利用者のストレングスに着目した看護実践
Get PDF本研究では，精神科訪問看護における利用者のストレングスに着目した看護実践について明らかにした．Ｗ市内で精神科訪問看護を提供している医療機関１施設と訪問看護ステーション２施設で，訪問看護に従事する訪問看護者９名に半構成式のインタビューを行った．その結果，看護者は利用者が自ら広げていく【利用者の多様な人々との関係を強みと捉える】ことを認識し，利用者を取り巻くサービス環境の整備が充実することで，さらに【利用者の強みを活かした生活支援】を継続している．訪問に際しては，利用者との関係や関わりから【強みを発揮する難しさの実感】しながら【利用者の強みを育む支援】を展開し，さらには【利用者が語る夢や希望を支える支援】を続けていくことが，精神科訪問看護における看護者が捉える利用者のストレングスに着目した看護実践であった．departmental bulletin pape
精神科訪問看護における家族支援のありように関する研究
Get PDF本研究では，精神科訪問看護に従事する看護師へインタビューを行い，家族支援のありようについて明らかにし，訪問看護における家族支援について考察することを目的とした．Ｘ市内にある精神科訪問看護を提供している医療機関２施設で訪問看護に従事する訪問看護者４名にインタビューガイドを用いて半構造化面接を行った．精神科訪問看護師の家族に対する支援のありようは【家族と利用者の関係性の理解】をしながら，【家族の苦悩や困りごとへの支援】や【家族の強みを活かした利用者への支援】につなげていた．また，【家族支援の難しさ】に直面しつつ，一方で【家族支援の手応えの実感】を得る支援のありようであった．精神科訪問看護の家族支援では，家族の苦悩に寄り添い，継続的な支援が求められる．個人と家族の双方を評価し，包括的にケアすることが重要であり，看護師自身の支援の振り返りも必要とされる．departmental bulletin pape
Development of the audiovisual stimuli to evoke positive and negative emotion
Get PDFAim: To conduct a physiological psychology study in settings that resemble everyday situations, we developed audiovisual stimuli designed to elicit positive or negative emotions.
Method: Fifty-two university students (26 males, mean age 20.5 years) participated in the study. Participants rated the valence and arousal of positive, negative, and neutral words spoken by avatars of the opposite sex on a 7 -point scale.
Results: The positive and negative stimuli elicited higher arousal levels compared to the neutral stimuli, with no significant difference in arousal between them. The positive stimuli induced pleasant emotion, while the negative stimuli induced unpleasant emotion. The valence ratings did not overlap among the stimuli.
Conclusion: These stimuli are capable of manipulating the emotional valence of the positive and negative audiovisual stimuli while maintaining a constant level of arousal. Utilizing audiovisual stimuli that combine an avatar’s facial expressions with corresponding words would enable psychological experiments with high ecological validity.departmental bulletin pape
Holistic Learning: Kukai Method for Edified Education’s Research and challenges
No full text本稿は、平安時代初期の僧侶、空海（774年-835年）について紹介した。空海は教育者として知られている。彼は828年1 月23日に綜芸種智院を創建した。本稿の目的は、意識を通して教養教育カリキュラムを開発することである。この遺産は、世界中のあらゆる文化、宗教、そして古文書に応用することができる。本稿は、武士道における残心の哲学的教化に関する研究についてまとめた。この論文は、2022年にアメリカン大学ソブリンネーションズの修士論文「人間：未来の武士道の文脈における残心の哲学的啓蒙に関する研究」が、「MAN：未来の武士道における残心の哲学的啓蒙に関する研究」（ジェネリス出版）として出版発表された。その後2022年にOdisha Journal of Social Scienceの研究誌にLearning from Kukai Sensei and Shugeishuchiin for Edified Educationとして執筆された。そして、Upway Books（July 10, 2025）よりHolistic Learning: The Kukai Method for Edified Educationと題して出版された。これらのものを邦訳・簡略し、さらに調査結果を加えたものである。This paper is introduced about Kukai (774-835), who was a monk in the early Heian period. Kukai is known as an educator. He is known that who founded Shugeishuchiin on January 23 in 828. This is established for the purpose of general education and integrated education of various arts. The aims of this paper are to develop edified educational curriculum through consciousness. This heritage can be applied in all cultures, religions, and in ancient writings from around the world. This paper was introduced as a part of chapter of Master Thesis of American University of Sovereign Nations entitled“Man: A Study on the Philosophical Edification of Zanshin in Bushido Context of Future”. Finally, it was published by Upway Books (July 10, 2025) under the title Holistic Learning: The Kukai Method for Edified Education. These works have been translated and abridged into Japanese, and further research results have been added.departmental bulletin pape
大腿骨近位部骨折術後の女性高齢者における栄養状態と歩行再獲得の関連
Get PDF研究目的は，大腿骨近位部骨折（PFF）術後の女性高齢者の栄養状態と歩行再獲得の関連を明らかにすることである．対象者は，PFFを受傷した65歳以上の女性高齢者12人で，方法は，対象者の概要と栄養状態（入院時と術後２週，退院時）のデータを記録物と測定により収集した．退院時の歩行状態で歩行不能群と歩行再獲得群に群別し，各変数の関連を分析した．結果，対象者の75.0%が低栄養と診断され，歩行再獲得率は50.0%だった．栄養状態と歩行再獲得の関連では，歩行再獲得群で，術後２週のAlb値が歩行不能群と比較して有意に高かった一方（p=.032），３時点の変化で有意差が認められ（p=.019），入院時から術後２週，入院時から退院時の減少傾向（各々p=.053）が示された．Alb値が手術侵襲の影響を受け低下した一方，入院中のたんぱく質摂取量の不足により十分な回復に至らなかった可能性が考えられた．よって，PFF高齢者に対するたんぱく質摂取量を強化した栄養介入の必要性が示唆された．This study aimed to examine the association between nutritional status and walking recovery in older women after proximal femur fracture（PFF）surgery. The participants were 12 older women aged 65 years or older with PFF. Data on participantsʼ demographics, hospitalization course, and nutritional status at three time points（on admission, two weeks post-surgery, and at discharge）were collected through medical records, observation, and measurement. At discharge, participants were classified into two groups based on their walking status（a non-walking group and a walking recovery group）, and the association with each variable was analyzed. As a result, 75.0% of the participants were diagnosed with malnutrition, and 50.0% were able to regain walking ability. In terms of the association between nutritional status and walking recovery, the albumin（Alb）level at two weeks post-surgery was significantly higher in the walking recovery group compared to the non-walking group（p = .032）. Significant differences were observed in Alb level changes across the three time points（p = .019）, with a decreasing trend noted from admission to two weeks post-surgery and from admission to discharge（p = .053 for both）. While Alb levels declined due to the impact of surgical stress, insufficient protein intake during hospitalization may have hindered adequate recovery. These findings suggest the necessity of enhanced nutritional interventions, particularly focusing on protein intake, for elderly patients with PFF.departmental bulletin pape