{"created":"2023-06-23T12:18:59.774775+00:00","id":9807,"links":{},"metadata":{"_buckets":{"deposit":"f81087ac-f695-4933-89fb-7fdb691671e1"},"_deposit":{"created_by":21,"id":"9807","owners":[21],"pid":{"revision_id":0,"type":"depid","value":"9807"},"status":"published"},"_oai":{"id":"oai:asahi-u.repo.nii.ac.jp:00009807","sets":["46:348:385"]},"author_link":["13290","338","9190","4023"],"item_10002_biblio_info_77":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"122","bibliographicPageStart":"113","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"岐阜歯科学会雑誌"},{"bibliographic_title":"The Journal of Gifu Dental Society","bibliographic_titleLang":"en"}]}]},"item_10002_description_80":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"障害児（者）の歯科治療に対するストレスの程度を評価することは難しい。自閉症者では歯科治療への不安や恐怖から不適応行動を生じやすく、重症心身障害児（者）（重症児（者））ではストレスから筋緊張亢進が生じ、呼吸困難などを引き起こすことがある。本研究では、 これらの偶発症を回避するため、障害別のストレス受容や理解度による差異の客観的評価を目的とし、下記の2系統の検討を行った。\n1．自閉症者と重症児（者）のストレス受容\n重症児（者）および自閉症者各40名を対象とし、重症児（者）を医療的ケアの有無で2群に、自閉症者を言語能力で3群に分け検討した。唾液α-アミラーゼ活性値（sAMY）測定は唾液アミラーゼモニター®（ニプロ、大阪）を用いた。測定時期はブラッシング導入後、処置終了後の2回とした。\n2．重症児（者）の能力別のストレス受容\n非経口摂取の重症児（者）13名および健常者5名を対象とした。言語理解の程度で2群に分け、健常者を含めた3群で検討した。sAMY測定方法は前述と同様、測定時期は安静時、ブラッシング後、半側歯石除去後、処置終了後とした。筋電図・筋音図の測定も同時に行い、その波形から二乗平均値（RMS）および反応様式を確認した。重症児（者）と自閉症者のsAMYの比較においては、 重症児（者）は治療前後とも高い値を認め前後の値に有意差を認めなかったが、自閉症者では診療前が高く、治療後に有意に低下した。 重症児（者）の医療的ケア施行群では、治療前後とも非施行群よりも有意に低かった。自閉症者の言語能力別のsAMYでは言語理解・表出あり群は治療前後とも他群より有意に低かった。重症児（者）の言語能力別のsAMYでは言語能力の高い群は安静時で他群より有意に低かった。筋電図では言語能力の低い群は他群より緊張が顕著で持続する傾向があった。重症児（者）、自閉症者ともに言語能力や重症度などによりストレス受容がそれぞれ異なることが示唆された。\nIt is difficult to evaluate the degree of stress caused by dental treatments on handicapped persons. Autistic people (AUT) tend to have maladaptive behaviors due to anxiety and fear toward dental treatments, and stress can cause hypermyotonia in children / adults with severe motor and intellectual disabilities (SMID), which may lead to dyspnea. In this study, we conducted the following two lines of investigations, seeking to objectively evaluate the differences in stress acceptance and the level of understanding according to the type of disability in order to avoid those accidental symptoms.\n1. Stress acceptance by AUT and SMID\nForty SMID were classifi ed into two groups, depending on whether or not they were receiving medical care, and 40 AUT were classified into three groups by their levels of language ability. Salivary α-amylase activity (sAMY) was measured using a salivary amylase monitor (NIPRO Corp., Osaka, Japan).\n2. Stress acceptance according to the level of ability of SMID\nThirteen SMID who were parenterally fed and five healthy individuals were included in the study. The handicapped individuals were classified into two groups by the level of language comprehension, and the study was conducted on a total of three groups, including a group of healthy subjects. Electromyography and mechanomyography were also performed simultaneously, and the root mean square and the reaction mode were confi rmed from the wave patterns. The SMID showed higher values of sAMY both before and after the treatment compared to AUT and there was no significant difference between the before and after values. On the other hand, AUT showed high sAMY values before the treatment, which significantly decreased after the treatment. In the group of SMID who were receiving medical care, sAMY values were significantly lower both before and after the treatment than in the group not receiving medical care. In comparison with the sAMY values of the each language ability group of AUT, the group with language comprehension and verbal expressions had significantly lower values both before and after the treatment than other groups. In comparison with the sAMY values of the each language ability group of SMID, the group with high language ability exhibited significantly lower values at rest than the other groups. The electromyography showed that the low language ability group had a tendency of having tension that was prominent and persistent comparing to the other groups. Results indicated that stress acceptance differs depending on language ability and severity of handicapped levels.","subitem_description_type":"Abstract"}]},"item_10002_full_name_75":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"13290","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KATO, ATSUSHI"}]},{"nameIdentifiers":[{"nameIdentifier":"338","nameIdentifierScheme":"WEKO"}],"names":[{"name":"GEN, KEIKA"}]}]},"item_10002_radio_89":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_radio_item":"application/pdf"}]},"item_10002_source_id_82":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2433-0191","subitem_source_identifier_type":"ISSN"}]},"item_10002_source_id_84":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00053070","subitem_source_identifier_type":"NCID"}]},"item_10002_textarea_76":{"attribute_name":"所属","attribute_value_mlt":[{"subitem_textarea_value":"愛知県心身障害者コロニー中央病院歯科\nDepartment of Dentistry, Aichi Prefectual Colony Central Hospital"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座障害者歯科学分野\nDepartment of Dentistry for the Disability and Oral Health, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"}]},"item_10002_version_type_95":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"加藤, 尊"}],"nameIdentifiers":[{"nameIdentifier":"9190","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"1000000329913","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/1000000329913"},{"nameIdentifier":"00329913","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=00329913"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"玄, 景華","creatorNameLang":"ja"},{"creatorName":"GEN, KEIKA","creatorNameLang":"en"}],"familyNames":[{"familyName":"玄","familyNameLang":"ja"},{"familyName":"GEN","familyNameLang":"en"}],"givenNames":[{"givenName":"景華","givenNameLang":"ja"},{"givenName":"KEIKA","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"4023","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000273005444","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000273005444"},{"nameIdentifier":"90215137","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=90215137"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-11-09"}],"displaytype":"detail","filename":"gifushika452_113122_2018.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"gifushika452_113122_2018","url":"https://asahi-u.repo.nii.ac.jp/record/9807/files/gifushika452_113122_2018.pdf"},"version_id":"011cad40-8f3e-447b-b8ba-657a813daacb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"自閉スペクトラム症","subitem_subject_scheme":"Other"},{"subitem_subject":"重症心身障害児","subitem_subject_scheme":"Other"},{"subitem_subject":"重症心身障害者","subitem_subject_scheme":"Other"},{"subitem_subject":"唾液α-アミラーゼ活性値","subitem_subject_scheme":"Other"},{"subitem_subject":"ストレス","subitem_subject_scheme":"Other"},{"subitem_subject":"Autism Spectrum Disorder","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Severe Motor and Intellectual Disabilities","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"SMID","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Salivary α-Amylase activity","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"sAMY","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Stress","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"唾液α-アミラーゼ活性値，筋電図および筋音図を用いた障害児（者）の歯科治療におけるストレス評価","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"唾液α-アミラーゼ活性値，筋電図および筋音図を用いた障害児（者）の歯科治療におけるストレス評価"},{"subitem_title":"Evaluation of the stress caused by dental treatment in handicapped person using salivary α-amylase activity, Electromyogram, mechanomyogram","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"21","path":["385"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-11-09"},"publish_date":"2018-11-09","publish_status":"0","recid":"9807","relation_version_is_last":true,"title":["唾液α-アミラーゼ活性値，筋電図および筋音図を用いた障害児（者）の歯科治療におけるストレス評価"],"weko_creator_id":"21","weko_shared_id":-1},"updated":"2024-01-11T00:54:27.726840+00:00"}