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Nutritional Evaluation by Nurses and Physical Recovery of Malnourished Patients after Esophagectomy

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Open Journal of Nursing 2022年第1期12卷 12-24页

作者： Tomoko Uno sadako Yoshimura Department of Nursing School of Health Sciences Sapporo Medical University Sapporo Japan Faculty of Health Sciences Hokkaido University Sapporo Japan

Following an esophagectomy, nurses’ patient nutrition observations are important for physical recovery and quality of life. The study proposed to identify the factors associated with physical recovery among esophageal cancer patients after surgery based on nurses’ observations and nutritional evaluations. Data were collected from the nursing records of 21 esophagectomy patients. The data included patients’ rate of weight loss, body mass index (BMI), energy intake, and postoperative complications. Patients were divided into two groups according to their weight loss rate: <8% and ≥8%. Patient outcomes were compared between the two groups. There was no difference in average BMI before or after surgery between the two groups. There was no difference in albumin levels during hospitalization;however, after esophagectomy, energy intake at discharge was insufficient in both groups. The ≥8% weight loss may be facilitated, or at least confounded, by the presence of recurrent nerve paralysis and aspiration pneumonia. Thus, the nursing records typically identified the need to check for recurrent laryngeal nerve palsy and aspiration pneumonia in conjunction with nutritional assessment to enhance patients’ physical recovery. When weight loss was significant, nurses provided oral intake support with the NST, and patients maintained oral intake levels similar to the group with weight loss under 8%. In order to better support physical recovery among malnourished, post esophagectomy patients, nurses need to monitor for signs of recurrent nerve palsy and aspiration pneumonia in addition to nutritional intake.

关键词： Esophagectomy Esophageal Cancer Perioperative Nursing Nutritional Assessment Aspiration Pneumonia

Asia in the Era of Globalization and Prospect for Japan-China Relations

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国际展望 2010年第6期2卷 46-53页

作者： Ogata sadako

Introduction I am honored to have this opportunity to address the distinguished experts of the Shanghai Institutes for International Studies,SIIS on the issue of Asia in the Era of Globalization and Prospect for Japan... 详细信息

关键词： Asia in the Era of Globalization and Prospect for Japan-China Relations

Duodenal stenosis resulting from a preduodenal portal vein and an operation for scoliosis

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World Journal of Gastroenterology 2009年第31期15卷 3950-3953页

作者： Kouji Masumoto Risa Teshiba Genshiro Esumi Kouji Nagata Takanori Nakatsuji Yuko Nishimoto sadako Yamaguchi Kenzo Sumitomo Tomoaki Taguchi Department of Pediatric Surgery Reproductive and Developmental MedicineGraduate School of Medical SciencesKyushu University Department of Clinical Nutrition Kyushu University Hospital Department of Pediatric Surgery Shimonoseki City Central Hospital

A preduodenal portal vein (PDPV) is known to be a rare cause of duodenal stenosis. We treated a 22-year-old male patient with malnutrition as a result of PDPV and a previously performed operation for scoliosis, who showed an improvement in quality of life after being treated with a combination of nutritional support and surgery. The patient with PDPV had been admitted to our department with duodenal stenosis, ranging from the first to third portions. He had suffered from vomiting since 1 year of age, and he developed malnutrition during the last 6-mo period after orthopedic surgery for scoliosis. The stenosis was related to both the PDPV and the previously performed operation for scoliosis. After receiving nutritional support for 6 mo, a gastrojejunostomy with Braun's anastomosis for the first portion and a duodenojejunostomy for the second and third portions were performed. The postoperative course was almost uneventful. Three months later, he was discharged and able to attend university. In patients with widespread duodenal stenosis, there may be a complicated cause,such as PDPV and duodenal stretching induced by previous spinal surgery.

关键词：十二指肠门静脉狭窄脊柱手术治疗营养不良营养支持生活质量

A Literature Review of Fertility Education for High School Students

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Health 2023年第11期15卷 1218-1231页

作者： Tomoko Nakamura Mitsuko Saito Sachiko Iwami Narumi Hosokawa Yoshiko Saga Yōko Kuroda sadako Fukunishi Tomoko Inuyama Hideaki Kitō Faculty of Nursing Hyogo University Kakogawa Japan Faculty of Nursing Himeji University Himeji Japan Kobe Japan Faculty of Nursing Kobe Women’s University Kobe Japan Faculty of Nursing Kansai University of International Studies Miki Japan Faculty of Sports and Health Hosei University Machida Japan

Purpose: Fertility education for high school students leads them to be able to decide when to get pregnant and give birth, and to think about their desired life plan. However, knowledge of fertility in Japan is low compared to other countries. This study aims to understand the state of fertility knowledge among high school students in Japan and to clarify issues in fertility education. Method: Ten articles published from 2013 to July 2023 were selected for review from ICHUSHI Web Ver. 5 and CiNii with the keywords “high school students,” “fertility,” and “education.” The review was limited to Japanese-language literature due to differences in fertility education and knowledge between Japan and other countries. Results/Conclusion: 60% - 90% of the high school students indicated that their source of information on fertility was school lessons. Half of the students understood egg aging and the effects of smoking and drinking on fertility, but their knowledge of menstruation, male reproductive physiology/function, and infertility was insufficient. 50% - 80% of students wanted to marry by the age of 30, and 70% - 80% wanted to have children. 80% of students who attended a lecture on preconception care considered the lesson an opportunity to think about their future life plans. 90% of school nurse teachers reported that fertility should be taught in schools, and half said that egg aging, causes of infertility, and other topics should be covered in high school. Educational caution points included the consideration of developmental stages and the relatedness of the content to what had already been taught, among other things. High school is the best time for fertility education because it gives students the opportunity to accept their own sexuality and think about their future. In addition, since many students plan to marry and have children by the age of 30, the acquisition of fertility knowledge can be an effective means of future life design.

关键词： High School Students Fertility Education

Examining Modifications of the Noise Generated by Nurses’ Footsteps and the Use of Pass-By Objects: A Pilot Study

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Open Journal of Nursing 2020年第2期10卷 184-193页

作者： Tomoko Shimoda Rei Nishijima sadako Yoshimura Faculty of Health Sciences Hokkaido University Sapporo Japan Department of Health Sciences School of Medicine Hokkaido University Sapporo Japan

A lot of sound can be heard in a hospital. The Ministry of Environment recommends that noise be kept below 50 dBA during the day and below 40 dBA at night to maintain a calm environment inside a medical facility. However, the noise in general wards typically exceeds these standards;therefore, it is necessary to adjust these sounds to foster patients’ recuperation. We examined whether the noise generated by nurses in a simulated ward changes with walking speed and the presence or absence of luggage. Sounds generated by nurses include footsteps and pass-by sound from objects (e.g., wagon, stretchers, wheelchairs, bedside tables, overhead tables, beds, IV poles.). Walking speed was classified into three types: slow (0.5 m/s), normal (1 m/s), and fast (2 m/s). Sound (dBA) was measured by measuring the pass-by sound generated when moving in a straight distance (four meters) in the corridor of a simulated ward. Objects were also compared for their pass-by sound generated with and without a load. Results revealed that normal and fast walking speeds generated louder sounds than did the slow speed (the volume of slow, normal, and fast speeds were 37.0 dBA, 39.3 dBA, and 38.7 dBA, respectively). The pass-by sound of objects increased in volume in proportion to nurses’ walking speed. The pass-by sound of wagons and stretchers was significantly lower when they had (vs. did not have) a load;however, the reverse was true for wheelchairs carrying patient dummies. The sound of footsteps did not change per walking speed. Decreasing walking speed may thus lead to noise modification. Nurses’ awareness of adjusting their walking speed per object use may prevent noise pollution. This study was conducted to obtain basic data regarding the wards’ sound environment. Future studies should consider the occurrence of the sound in clinical settings.

关键词： Hospital Environment Noise Nursing Volume Walking Speed

Tumor necrosis factor alpha (TNFα) is positively regulated by ganglioside GM3 through a PI3K,mTOR-Rictor,Akt and Arhgdib pathway in mouse melanoma B16 cells

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Tumor necrosis factor alpha (TNFα) is positively regulated ...

第十届全国生化与分子药理学术会议

作者： Tatsuya Yamagata sadako Yamagata Laboratory of Glycobiology and Tumor Biology Laboratory of BiochmistryShenyang Pharmaceutical UniversityShenyang 110016

Aim:Tumor necrosis factor alpha is a multifunctional cytokine showing conflicting roles in tumor cells as a necrosis- inducing or growth promoting ***,one oF the sialylated glycosphingolipids,is located on the outer leaflet of plasma membranes in vertebrate tissue and implicated in differentiation,growth regulation and cell adhe-

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从中国民话之会起步

民间文化论坛 2021年第4期 44-46页

作者： [日]池上贞子迹见学园女子大学

凡从事文学研究及创作的人或许都会有一段参与同人杂志的记忆吧。现在,我主要研究和翻译华文文学:如张爱玲,台湾和香港的小说、诗作等。我的文学之路是从中国民话(民间故事)之会起步的。1972年,我还是东京都立大学的硕士研究生,参加了... 详细信息

凡从事文学研究及创作的人或许都会有一段参与同人杂志的记忆吧。现在,我主要研究和翻译华文文学:如张爱玲,台湾和香港的小说、诗作等。我的文学之路是从中国民话(民间故事)之会起步的。1972年,我还是东京都立大学的硕士研究生,参加了村松一弥教授的研究班,随后加入了中国民间文学研究会(1967年成立)。

关键词：中国民间文学文学之路华文文学同人杂志硕士研究生民间故事张爱玲东京都

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失落的时机——白先勇与张爱玲

华文文学 2001年第2期 24-29页

作者：池上贞子日本迹见学园女子大学

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关键词：白先勇胡兰成小说花城出版社张爱玲叙述者

低转移性和高转移性的FBJ骨肉瘤细胞在脂筏上的区别

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沈阳药科大学学报 2007年第3期24卷 167-171页

作者：胡丹山形贞子山形达也沈阳药科大学制药工程学院辽宁沈阳100016

目的通过寻找低转移性和高转移性的FBJ骨肉瘤细胞在脂筏上的区别来研究神经节苷脂(GD1a)调控肿瘤转移能力的机制。方法提取细胞的脂筏成分,用聚丙烯酰胺凝胶电泳和二维电泳来检测转移性不同的细胞在脂筏上的蛋白组成区别,并用免疫印迹法... 详细信息

目的通过寻找低转移性和高转移性的FBJ骨肉瘤细胞在脂筏上的区别来研究神经节苷脂(GD1a)调控肿瘤转移能力的机制。方法提取细胞的脂筏成分,用聚丙烯酰胺凝胶电泳和二维电泳来检测转移性不同的细胞在脂筏上的蛋白组成区别,并用免疫印迹法(Western blot)来分析转移性不同的细胞在脂筏上的磷酸化区别。结果通过以上方法,发现了转移性不同的细胞在脂筏上的蛋白组成上有所不同,且磷酸化呈现明显区别,这些变化可能与调控肿瘤细胞的转移有关。

关键词：神经节苷脂(GD1a) FBJ骨肉瘤细胞脂筏二维电泳 SDS聚丙烯酰胺凝胶电泳