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A Study on the Visualization of Alfred Lord Tennyson’s Idylls of the King by Julia Margaret Cameron’s Photographs
Get PDFThis paper discusses the characteristics of Julie Margaret Cameron’s photographs used as illustrations in Illustrations to Tennyson’s Idylls of the King and Other Poems Vol. 1（ 1874）and Vol. 2,（ 1875） by comparing them and their techniques with those of illustrations by her contemporary illustrators, Paul Gustave Doré, and Pre-Raphaelite artists: Dante Gabriel Rosetti, William Holman Hunt and Daniel Maclise, who contributed their illustrations to so-called ‘the Moxon Tennyson,’ Alfred Lord Tennyson’s Poems, published, in 1857. Cameron’s interpretation of Tennyson’s text with her photographs shows her interests in expressing female characters’ psychological feelings by selecting lyrical part of the basically epical poem with her unique photographic techniques called ‘soft focus’ and manipulations on her negative plates. Her photographs as illustrations for Idylls of the King look strongly influenced by Pre-Raphaelite Brotherhood painters’ attitude toward book illustrations, in which human emotion and inner consciousness are focused rather than the narrative messages of the text.departmental bulletin pape
A literature study on experiences and emotions accompanying surrogacy decision-making by family members of elderly patients
Get PDFapplication/pdf本研究は、日本の高齢患者の医療における家族による代理意思決定場面において、家族が体験する経験や心情に関する研究動向や知見の特徴について明らかにすることを目的とした。検索した文献の発行年は、2015年～2022年までとした。検索文献のうち、論文の種類、リサーチクエスチョン、参加者の基準を満たした7文献を分析対象とした。いずれの文献も，研究デザインについては、インタビュー調査にもとづく質的研究であった。主な結果として、高齢患者の代理意思決定場面での家族の経験や体験として、【家族の危機に直面した際の経験や心情】，【家族の代理意思決定の経験や心情），【家族の代理意思決定を行う際と決定後の心情の揺らぎ】、【家族の代理意思決定を行う際の患者・周囲との関係性】の4つのカテゴリーが得られた。これらの結果から、家族の代理意思決定における精神的負担の大きさが改めて確認できるとともに，負担軽減に向けての医療従事者や制度的な対応の必要性が示唆された。This study aims to identify the characteristics of research trends and findings on the experiences and emotions accompanying surrogacy decision-making by family members in the health of elderly patients in Japan. We reviewed the literature published from 2015 to 2022. Of the reviewed literature, the analysis identified seven references meeting the criteria of paper type, research questions and participants. The research design of all the references was a qualitative study based on interviews. The main results of the analysis on experiences and emotions in proxy decision making by family members of elderly patients were divided into the following four categories: experiences and emotions in family crisis situations, experiences and emotions accompanying surrogacy decision-making by family members, emotional turmoil in and after surrogacy decision-making by family members, and relationships with the patient and surroundings in surrogacy decision-making by family members. These results affirmed the great emotional burden of surrogacy decision-making by family members and suggest the need for support of health care professionals and institutional measures to reduce the burden.departmental bulletin pape
A case with Parkinson's disease whose exercise habits of ground golf had a positive effect on long-term disease prognosis
Get PDFapplication/pdf58歳時に右手の振戦で発症し、82歳時まで臨床経過を追うことができたパーキンソン病（PD）症例を経験したので報告した。PDは中脳のドパミン神経を主体に変性脱落していく進行性の神経変性疾患で、わが国では難病に指定されている。本例は、発症から24年も経過したにもかかわらず、通院に同伴者の付き添いが必要なものの外来診療の際，独歩にて受診可能であった。このように長期予後が良好なPD 症例は稀である。本例の長期予後を良好にさせた要因の1つとして、罹病期間中継続されたグラウンド・ゴルフ （GG）の運動習慣が考えられた。高齢者にも安全にゲーム感覚で継続できる GGのような全身運動の習慣や趣味はPDの長期予後に好影響を与えるものと推測された。A patient with Parkinson's disease (PD) who developed tremor in the right hand at age 58 and was clinically followed up to age 82. PD mainly changes dopaminergic neurons in the midbrain. It is a progressive neurodegenerative disease.PD is one of the intractable diseases in Japan. This patient needs a companion to go to the hospital. However, he was able to walk independently during outpatient care, even though 24 years have passed since the onset of symptoms. Good long-term prognosis of PD is rare. One of the factors that contributed to the favorable long-term prognosis of this patient was considered an exercise habit of ground golf continued throughout the duration. Safe habits and hobbies for the elderly of whole-body exercise such as ground golf, which can be continued like a game, are favorable for the long-term prognosis of PD.departmental bulletin pape
