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©World Health Organization Regional Office for the Western Pacific 2005 Publications and documents Home » Publications and documents People at the center of health care harmonizing mind and body, people and systems www.wpro.who.int/publications/PUB_139789290613169.htm This book calls for a bold transformation of health care and health systems in the 21st century. Quality of care has become an increasingly important issue for the World Health Organization’s South-East Asia and Western Pacific Regions, and a policy framework for people-centred health care was endorsed by Member States in September 2007. Specific policy reforms and interventions necessary to transform health care to a more holistic, people-centred approach will need to be determined by leaders and policy-makers at local and national levels in consultation with their constituencies and all interested stakeholders. This book, which is designed to bring members of the public into that debate, is a necessary first step in encouraging dialogue. WHO South-East Asia and Western Pacific Bi-regional Publication 2007,88 pages ISBN13 9789290613169 Price 14.66 US$/ 17.00 Swiss Fr. Price for developing countries 10.26 US$/ 11.90 Swiss Fr. PDF Format Press releases Asia’s health care is in need of an overhaul, WHO says www.wpro.who.int/media_centre/press_releases/pr_20071126.htm Tokyo, 25 November 2007–The World Health Organization (WHO) today called for a major overhaul of the way patients are treated in Asia’s health facilities, saying medical care has become depersonalized and out of touch with the public’s rights and needs. Despite all the advances in medical science and technology in recent decades, many people are still not satisfied with the quality of care they receive, said Dr Shigeru Omi, WHO Regional Director for the Western Pacific and one of the driving forces behind the call for change. “Health care continues to fall short of people’s expectations. There is growing concern about quality, access and responsiveness, as well as about safety.” One of the problems, he said, is that the approach to healing has become too narrow, with the patient viewed as little more than a set of symptoms. This fails to take into account the fact that body and mind are linked, and that psychosomatic and social factors also affect health. What is needed, Dr Omi said, is a new approach where the many hidden factors associated with illness and hospitalization, such as anxiety, loneliness and cultural and social alienation, are also taken care of in a multidisciplinary manner. This care should be delivered in a spirit of partnership, where the dignity of the patient is fully respected and where individuals, families and communities are also part of a dialogue that responds to health needs in humane and holistic ways. “Knowledge and technology are our great allies,” Dr Omi said, “but we must use them judiciously and holistically, within a people-friendly system that views members of the public as full and equal partners in preventing disease and enhancing health and well-being.” Dr Omi acknowledged that the transition to a new approach would be neither quick nor easy, but he argued that much of Asia, as home to some of the world’s fastest-growing economies, was ready for the challenge. But the change would not necessarily be limited to the stronger economies. “What we are proposing is relevant to all forms of health systems at all stages of their development,” he said. The costs would not be great, Dr Omi said. “We are talking mainly about inexpensive, strategic adjustments in the work environment, plus some retraining of healthcare staff and auxiliaries.” Dr Omi said the new approach would not divert resources away from the numerous health problems still facing Asia. “We will continue to tackle them with all our energy,” he said. Dr Omi’s appeal was issued in a statement to mark an international symposium in Tokyo titled“People-centred Health Care Reorienting Health Systems in the 21st Century”. Attended by some of the world’s most eminent experts on healthcare reform, the 25 November gathering was preceded by a national conference of the Japanese Society for Quality and Safety in Health Care. The three days of discussions were expected to produce a declaration that will act as a blueprint for people-centred care in Asia and the Pacific. The people-centred health care initiative is a joint project by WHO’s Western Pacific Region and South-East Asia Region. Dr Omi’s call for reform was backed by Dr Samlee Plianbangchang, WHO Regional Director for South-East Asia, who said the overarching goal was recognition that good health is “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” For this to happen, he said, health systems also have to change. “Policymakers need to recognize that health cannot any longer be viewed in isolation,” Dr Samlee said. “Other factors, such as labour laws, the environment, education, and trade and finance, all impact on health. This should be taken into consideration when health systems are being designed.” Dr Omi added “We need to harmonize people and systems, within the health sector and between health and other sectors. Health must be seen in a broad sense, with all stakeholders involved. Multidisciplinary and multisectoral partnerships will be required more than ever to enable people to achieve optimal health and well-being.” From the patient’s point of view, a more holistic, people-centred approach would bring many benefits, depending on the circumstances. They would include Faster healing and a quicker return to family and society. Aneed for fewer drugs. Better compliancewith drug regimens. Reduced exposure to medical errors, which are often a result of relying exclusively on technology and machines. Improved quality of lifefor patients,their families, their community and society at large. The benefits would also spin over to the hospital side in terms of the professional satisfaction doctors and other medical staff would feel from enhanced patient trust and respect. Health systems are at a turning point, Dr Omi said. “The way things are done today does not respond to what the public wants. The need for a more balanced system is clear. What we have to do now is to take the action that will make that change happen.” For more information, please contact Mr Peter Cordingley, spokesman for WHO in the Western Pacific Region, at mobile +63 917 844 3688 or emailcordingleyp@wpro.who.int. qsh.jp/2007/index.html リンダ・ミラン WHO西太平洋事務局健康地域開発部長 高久史麿 医療の質・安全学会理事長 ジョー・ハクネス 国際患者団体連合理事長 唐澤祥人 日本医師会会長 舛添要一 厚生労働大臣 尾身 茂 世界保健機関西太平洋地域事務局長 「正しい知識・情報を持ち、権限を付与された個人、家族、地域社会」 アンジェラ・コトラー 欧州ピッカー研究所所長 「有能で対応力ある医療従事者」 アレジャンドロ・ディゾン フィリピン・セント・ルークス医療センター医療改善会議議長、外科局長 「効果的で効率的な医療組織・機関」 ロビン・ヤングストン ワイタケレ病院 指導臨床医（クリニカル・リーダー） ニュージーランド・指導臨床医協会 創設者/理事長 「『“人”が中心の医療』を支える医療システム」 金昌燁 大韓民国健康保険審査評価院院長 兼ソウル国立大学保健大学院保健政策・経営学研究室助教授 高村正彦 外務大臣特別スピーチ 「“人”が中心の医療」実現促進のための国際行動計画（WHO/WPRO） 司会： ディーン・シュウェイ WHO/WPRO保健サービス開発課長 ドン・マッセソン ニュージーランド保健省国際課長 13：30 イントロダクション 13：40 ベンデット･サラセノ WHO精神保健・薬物乱用部長 14：00 ジョー・ハクネス 国際患者団体連合理事長 14：20 ジェームス・キリングスワース ジョイント・コミッション・インターナショナル専務理事 14：40 リアム・ドナルドソン卿 WHO患者安全世界共同行動プログラム議長 qsh.jp/2007/pci/forum/index.html 2. 患者本位の医療をめざす患者･医療者･地域社会の取組み司会 佐原 康之（厚生労働省医政局医療安全推進室室長） 丸木 一成（国際医療福祉大学大学院教授） (1) 患者さんの取組み； 本田麻由美（読売新聞社記者） (2) 医療機関の取り組み；岡本左和子 （元ジョンズホプキンス大学病院Patient Advocate） (3) 地域社会の取組み；前村 聡（日本経済新聞社記者） 3．パネル討議ディスカッション 「パートナーシップに基づく新しい医療のかたちを創るために」司会 開原 成允（国際医療福祉大学大学院院長） 山内 桂子（医療の質･安全学会パートナーシップ・プログラム代表） パネリスト ・デボラ・ホフマン （ダナ・ファーバーがん研究所患者と家族のためのセンター） ・赤津 晴子（ピッツバーグ大学 内分泌代謝内科 准教授） ・藤井 裕志（下関市医療相談窓口（下関市立下関保健所）主任） ・伊藤 雅治（（社）全国社会保険協会連合会理事長） ・大平 勝美（社会福祉法人はばたき福祉事業団理事長） ・「新しい医療のかたち」受賞団体代表 【感想】 ・講演者、パネリストの口から、当たり前のように“患者中心の医療”というキーワードが出てきたところには驚いた。 ・フジテレビのキャスター黒岩さんやその他の人が、“患者中心の医療”をはき違えていないか？ という発言をされている点が 印象的であった。 今の医療－患者関係の影の部分をよく理解されておられると思う。 ・医療に、サービス提供者と消費者(お客さん)という図式は、おかしい。 医療を受ける国民。その国民である、患者さんも意見を出し、皆で協力し、お互いの目線と密なコミュニケーションで その人にとっての最善の道を見つめて歩む医療へと。という趣旨のディスカッションがあった。 People-Centred Health Care 舛添要一 厚生労働大臣 ●分娩：救済制度 1st. 真相究明、 ●人中心の医療の： ●Global Health：2015年に向けた2008年中間評価 母子保健、HIV感染症、3つの目標 HIV,マラリア、TB ●母子保健：3/1000、乳幼児、母体死亡率低下の成功→発展途上国へ 日本経済発展の基礎の一つ ●国際保健協力： とても重要な日本の国際貢献 ●G8： 来年、日本が主催国 ●日本の医療の長期体制 国民中心の30年先を見越した 〇 ■テーマ１：「正しい知識・情報を持ち、権限を付与された個人、家族、地域社会」 アンジェラ・コトラー 欧州ピッカー研究所所長 貼り付け元 http //www.qsh.jp/2007/pci/index.html Hospital Prevention Health Self care 高村正彦 外務大臣 2015年 洞爺湖 国際的行動指針 母子健康保険 母子手帳 感染症対策 インドネシアにおける、母子健康手帳の導入 パレスチナ 「みんなで創ろう、私たちの医療 ― 患者・医療者・地域社会の取組み」 「新しい医療のかたち」選考委員会 委員長 大熊由紀子 「新しい医療のかたち」賞授賞式 貼り付け元 http //www.qsh.jp/2007/pci/forum/suisen.html 患者を中心とした取り組み部門 島根県における「がんサロン」の活動 もともとは患者仲間でやすらぐためにつくられたもので、現在15か所。いまは、子どもたちの「いのちの授業」や医師、ナースの研修の場にもなりつつありま す。故佐藤均さんの訴えは、患者、家族だけでなく、県職員、議員の心も動かし、島根県がん対策推進条例、出雲市がん撲滅対策推進条例の制定へと広がってい ます。 法律にもなっている。 医療者･医療機関を中心とした取り組み部門 新葛飾病院 患者支援室 医療者と患者・家族の間の対話を深めることによって、医療の質と安全性の向上をめざす、この病院独特の「裁判外紛争解決（ADR）」のカナメです。誤診で 長男を失った女性をあえて専従職員にしたり、この病院で不満足な結果におわった患者、家族を院内研修の講師に招いたりという多角的な取り組みも続けていま す。 清水先生 医療訴訟 から 裁判外紛争解決（ADR）へ 勝訴することで、問題は解決したといえるのか？ 地域社会の取り組み部門 NPO法人コミュニティケアリンク東京 東京・小平のケアタウン小平を拠点とし、地域のボランティア、診療所とも協力して、病気や障害が重くても、死が間近になっても、安心して住み慣れた家で暮 らし続けられるための７つの事業を進めています。こどもたちが転げ回って遊ぶ中庭や絵本を使った子育て支援など幅広い活動を展開しています。 貼り付け元 http //www.qsh.jp/2007/pci/forum/suisen_kekka.html 「みんなで創ろう、私たちの医療 ― 患者・医療者・地域社会の取組み」 岡本 浩二（厚生労働省大臣官房参事官） 貼り付け元 http //qsh.jp/2007/pci/forum/index.html 医療安全推進センター：各市町村に設置 上原 鳴夫（医療の質･安全学会第2回学術集会会長） 人が中心 変わるのを待っていたのではないか？→医療を変える。 2. 患者本位の医療をめざす患者･医療者･地域社会の取組み 司会 佐原 康之（厚生労働省医政局医療安全推進室室長） 丸木 一成（国際医療福祉大学大学院教授） (1) 患者さんの取組み； 本田麻由美（読売新聞社記者） (2) 医療機関の取り組み；岡本左和子 （元ジョンズホプキンス大学病院Patient Advocate） (3) 地域社会の取組み；前村 聡（日本経済新聞社記者） 貼り付け元 http //qsh.jp/2007/pci/forum/index.html 画面の領域の取り込み日時 2007/11/25 14 02 (1) 患者さんの取組み； 本田麻由美（読売新聞社記者） 癌患者→日本では、未承認→患者の会 迅速な承認 医療の適正配置 腫瘍内科医の育成 ・患者の会→“病気とともに生活する”経験を蓄積した専門家としての医療への参画 患者の代表としての発言者 (“患者中心の医療”を履き違えた活動にならないよう対策が必要) 島根県における「がんサロン」の活動 ・医療格差は知っていたが、患者の意識格差の大きさに驚いた。 (2)医療者･医療機関を中心とした取り組み部門 医療機関の取り組み；岡本左和子 （元ジョンズホプキンス大学病院Patient Advocate） ・患者中心の医療、医療側の取り組み ・医療安全Patient Safety： 部下や他業種が問題点を指摘することの安全性を保証する ・Bridge Gaps：Patient Advocate。不確実性の理解、フラストレーションを 爆発させる前に引き出して対応。 ●新葛飾病院 ・医療安全対策室、医師 対策職員に実際の医療被害者をあえて採用して活動； 豊田さん、読売新聞、「・・・」 ３．地域社会の取り組み部門 ・医療崩壊、10年前から医療者は認識していた。 もっと早い段階で、患者（国民）を巻き込んだ活動をしても よかったのでは？ ・NPO法人コミュニティケアリンク東京 の活動 東京・小平 発表者：河邉さん ・各部門が1つの施設内にある。亀田的。デイケア、入所施設。ホスピスケア。 ・在宅死：85%。うち：70％がガン ・在宅診療のみならず、地域のコミュニティー。人の集まる場。 子育て支援、相談支援事業 → 子供の安全な遊び場、キッズボランティア 豊かな庭造り、展示、販売、バザー。 「パートナーシップに基づく新しい医療のかたちを創るために」 3．パネル討議ディスカッション 「パートナーシップに基づく新しい医療のかたちを創るために」 司会 開原 成允（国際医療福祉大学大学院院長） 山内 桂子（医療の質･安全学会パートナーシップ・プログラム代表） パネリスト ・デボラ・ホフマン （ダナ・ファーバーがん研究所患者と家族のためのセンター） ・赤津 晴子（ピッツバーグ大学 内分泌代謝内科 准教授） ・藤井 裕志（下関市医療相談窓口（下関市立下関保健所）主任） ・伊藤 雅治（（社）全国社会保険協会連合会理事長） ・大平 勝美（社会福祉法人はばたき福祉事業団理事長） ・「新しい医療のかたち」受賞団体代表 貼り付け元 http //qsh.jp/2007/pci/forum/index.html ●デボラ・ホフマン 委員会 待ち時間 法改正の際に 異なる意見を吸い上げることができる ●赤津 晴子 さん アテンションゲッター：車の事故；運転能力、事故対策 →医療における安全；臨床能力、事故対策 方略として：良質なチーム医療 ・たとえが最良 ・ピアレビュー ●藤井 裕志（下関市医療相談窓口（下関市立下関保健所）主任） www2.city.shimonoseki.yamaguchi.jp/icity/browser ・医療安全支援センター について ・小さな疑問・悩み → 放置により、不信 ・体に“負担の少ない”手術 → “簡単な”手術 ・医療者側に、リスクの説明が少ない ・患者側にも自分のことをうまく表現できない。という問題が！ 一見、わがままに見える。 ・患者になる前に、日頃からもっと医療について考え、知る機会が必要 → 出前講座、講演 10人程度いればOK 医療制度、コミュニケーション、などの項目が多い。 医療制度を知っていれば、トラブルを回避できた事例もある。 ---------------------------------------------------------------------------- 全国の医療安全支援センター www.anzen-shien.jp/center/index.html ---------------------------------------------------------------------------- ●伊藤 雅治（（社）全国社会保険協会連合会理事長） 医師、厚生省 ・ものを決めてゆくプロセスにいかに国民に参加してもらうかが重要になってきている ・大平 勝美（社会福祉法人はばたき福祉事業団理事長） ・ ●パネルディスカッション： ・大平 勝美（社会福祉法人はばたき福祉事業団理事長） ・日本の患者会の問題点：持続性(－).裁判後解散。 それ以外で、あまり行政に働きかけるなど。変えようとする意識は少ない。 ・地域の活動が、以外に行政に上がって来ない。患者会、 ・自己実現の場を与えられると、もっとpowerを発揮できるのではないか？ ・ 医療の質･安全学会パートナーシップ・プログラムについて
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ACT THREE Scene 1 Samson, Micah, Harapha and Chorus of Israelites. 61. Recitative Micah More trouble is behind, for Harapha Comes on amain, speed in his steps and look. Samson I fear him not, nor all his giant brood. Enter Harapha. Harapha Samson, to thee our lords thus bid me say This day to Dagon we do sacrifice With triumph, pomp, and games; we know, thy strength Surpasses human race; come then, and show Some public proof to grace this solemn feast. Samson I am an Hebrew, and our law forbids My presence at their vain religious rites. Harapha This answer will offend; regard thyself. Samson Myself, my conscience and intemal peace! Am I so broke with servitude, to yield To such absurd commands, to be their fool, And play before their God? - I will not come. Harapha My message, giv n with speed, brooks no delay. 62. Air Harapha Presuming slave, to move their wrath! For mercy sue, Or vengeance due Dooms in one fatal word thy death! Consider, ere it be too late, To ward th unerring shaft of fate. 63. Recitative Micah Reflect then. Samson, matters now are strain d Up to the height, whether to hold, or break. He s gone, whose malice may inflame the lords. Samson Shall I abuse this consecrated gift Of strength, again returning with my hair, By vaunting it in honour to their god And prostituting holy things to idols? Micah How thou wilt here come off surmounts my reach; Tis Heav n alone can save, both us and thee. 64. Chorus of Israelites With thunder arm d, great God, arise! Help, Lord, or Israel s champion dies! To thy protection this thy servant take, And save, oh, save us for thy servant s sake! With thunder arm d. . . da capo 65. Recitative Samson Be of good courage, I begin to feel Some inward motions, which do bid me go. Micah In time thou hast resolv d, again he comes. Enter Harapha. Harapha Samson, this second summons send our lords Haste thee at once; or we shall engines find To move thee, though thou wert a solid rock. Samson Vain were their art if tried, I yield to go, Not through your streets be like a wild beast trail d. Harapha You thus may win the lords to set you free. Samson In nothing I ll comply that s scandalous Or sinful by our law. - Brethren, farewell! Your kind attendance now, I pray, forbear, Lest it offend to see me girt with friends. Expect of me you ll nothing hear impure, Unworthy God, my nation, or myself. Micah So may st thou act as serves His glory best. Samson Let but that spirit (which first rush d on me In the camp of Dan) inspire me at my need 66. Accompagnato Samson Then shall I make Jehovah s glory known! Their idol gods shall from his presence fly, Scatter d like sheep before the God of hosts. 67. Air Samson Thus when the sun from s wat ry bed All curtain d with a cloudy red, Pillows his chin upon an orient wave; The wand ring shadows ghastly pale, All troop to their infemal jail Each fetter d ghost slips to his sev ral grave. 68. Accompagnato Micah With might endu d above the sons of men, Swift as the lightning s glance His errand execute, And spread His name amongst the heathen round. 69. Air and Chorus Micah The Holy One of Israel be thy guide, The Angel of thy birth stand by thy side! To fame immortal go, Heav n bids thee strike the blow The Holy One of Israel is thy guide. Israelites To fame immortal go Heav n bids thee strike the blow The Holy One of Israel is thy guide. Scene 2 Micah, Manoah, and Chorus of Israelites. 70. Recitative Micah Old Manoah, with youthful steps, makes haste To find his son, or bring us some glad news. Manoah I come, my brethren, not to seek my son, Who at the feast does play before the lords; But give you part with me, what hopes I have To work his liberty. 71. Air Philistine, at a distance Great Dagon has subdu d our foe And brought their boasted hero low Sound out his pow r in notes divine Praise him with mirth, high cheer and wine. 72. Chorus of Philistines, at a distance Great Dagon has subdu d our foe. And brought their boasted hero low Sound out his pow r in notes divine Praise him with mirth, high cheer and wine. 73. Recitative Manoah What noise of joy was that? It tore the sky. Micah They shout and sing, to see their dreaded foe Now captive, blind, delighting with his strength. Manoah Could my inheritance but ransom him, Without my patrimony, having him The richest of my tribe. Micah Sons care to nurse Their parents in old age; but you, - your son! 74. Air Manoah How willing my paternal love The weight to share Of filial care, And part of sorrow s burden prove! Though wand ring in the shades of night, Whilst I have eyes he wants no light. 75. Recitative Micah Your hopes of his deliv ry seem not vain, In which all Israel s friends participate. Manoah I know your friendly minds, and - A symphony of horror and confusion. Heav n! What noise! Horribly loud, unlike the former shout. 76. Chorus of Philistines, at a distance Hear us, our God! Oh, hear our cry! Death, ruin, falI n, no help is nigh, Oh mercy, Heav n, we sink, we die! 77. Recitative Micah Noise call you this? An universal groan, As if the world s inhabitation perish d! Blood, death, and ruin, at their utmost point! Manoah Ruin indeed! Oh, they have slain my son! Micah Thy son is rather slaying them; that cry From slaughter of one foe could not ascend. But see, my friends, One hither speeds, an Hebrew of our tribe. Scene 3 Enter a Messenger. 78. Recitative Messenger Where shall I run, or which way fly the thoughts Of this most horrid sight? O countrymen, You re in this sad event too much concem d! Micah The accident was loud, we long to know from whence. Messenger Let me recover breath; it will burst forth. Manoah Tell us the sum, the circumstance defer. Messenger Gaza yet stands, but all her sons are falI n. Manoah Sad, not to us! But now relate by whom? Messenger By Samson done. Manoah The sorrow lessens still, And nigh converts to joy. Messenger O Manoah! In vain I would refrain; the evil tale Too soon will rudely pierce thy aged ear. Manoah Suspense in news is torture, speak them out! Messenger Then take the worst in brief - Samson is dead. Manoah The worst indeed! My hopes to free him hence Are baffled all! But death, who sets all free, Hath paid his ransom now. Micah Yet, ere we give the reins to grief, say first How died he? Death to life is crown, or shame. Messenger Unwounded of his enemies he fell, At once he did destroy, and was destroy d; The edifice, where all were met to see, Upon their heads, and on his own he pulI d! Manoah Oh, lastly overstrong against thyself! A dreadful way thou took st to thy revenge Glorious, yet dearly bought! 79. Air and Chorus Micah Ye sons of lsrael, now lament, Your spear is broke, your bow s unbent. Your glory s fled, Amongst the dead Great Samson lies, For ever, ever, clos d his eyes! Israelites Weep, Israel, weep a louder strain; Samson, your strength, your hero, is slain! 80. Recitative Manoah Proceed we hence to find his body Soak d in vile Philistine blood; with the pure stream, And cleansing herbs wash off his clodded gore; Then solemnly attend him to my tomb With silent obsequies, and fun ral train. 81. Symphony dead march 82. Recitative Micah The body comes; we ll meet it on the way With laurels ever green, and branching palm; Then lay it in his monument, hung round With all his trophies, and great acts enrolI d In verse heroic, or sweet lyric song. Manoah There shall all IsraeI s valiant youth resort, And from his memory inflame their breasts To matchless valour, whilst they sing his praise. Enter Israelites with the body of Samson. 83. Air and Chorus Manoah Glorious hero, may thy grave Peace and honour ever have; After all thy pain and woes Rest etemal, sweet repose! Israelites Glorious hero, may thy grave Peace and honour ever have! 84. Solo and Chorus Israelite Woman The virgins too shall on their feastful days Visit his tomb with flow rs, and there bewail His lot unfortunate in nuptial choice. Virgins Bring the laurels, bring the bays, Strew his hearse, and strew the ways! Israelite Woman May ev ry hero fall like thee, Through sorrow to felicity! Virgins Bring the laurels, bring the bays Strew his hearse and strew the ways! Israelites Glorious hero, may thy grave Peace and honour ever have, After all thy pains and woes, Rest etemal, sweet repose! 85. Recitative Manoah Come, come! No time for lamentation now, No cause for grief; Samson like Samson fell, Both life and death heroic. To his foes Ruin is left; to him eternal fame. Micah Why should we weep or wail, dispraise or blame, Where all is well and fair to quiet us? Praise we Jehovah then, who to the end Not parted from him, but assisted still, Till desolation fill d Philistia s lands, Honour and freedom giv n to Jacob s seed. 86. アリア イスラエルの女 輝くセラフィム（熾天使）よ、炎の列となり、 朗々たる、高く掲げた天使のラッパを吹き鳴らせ。 ケルビム（智天使）の軍勢よ、心地よい合唱隊に加わり、 黄金の弦を張った不滅のハープを掻き鳴らせ。 87. Chorus of Israelites Let their celestial concerts all unite, Ever to sound his praise in endless blaze of light. ACT THREE Scene 1 Samson, Micah, Harapha and Chorus of Israelites. 61. Recitative Micah More trouble is behind, for Harapha Comes on amain, speed in his steps and look. Samson I fear him not, nor all his giant brood. Enter Harapha. Harapha Samson, to thee our lords thus bid me say This day to Dagon we do sacrifice With triumph, pomp, and games; we know, thy strength Surpasses human race; come then, and show Some public proof to grace this solemn feast. Samson I am an Hebrew, and our law forbids My presence at their vain religious rites. Harapha This answer will offend; regard thyself. Samson Myself, my conscience and intemal peace! Am I so broke with servitude, to yield To such absurd commands, to be their fool, And play before their God? - I will not come. Harapha My message, giv n with speed, brooks no delay. 62. Air Harapha Presuming slave, to move their wrath! For mercy sue, Or vengeance due Dooms in one fatal word thy death! Consider, ere it be too late, To ward th unerring shaft of fate. 63. Recitative Micah Reflect then. Samson, matters now are strain d Up to the height, whether to hold, or break. He s gone, whose malice may inflame the lords. Samson Shall I abuse this consecrated gift Of strength, again returning with my hair, By vaunting it in honour to their god And prostituting holy things to idols? Micah How thou wilt here come off surmounts my reach; Tis Heav n alone can save, both us and thee. 64. Chorus of Israelites With thunder arm d, great God, arise! Help, Lord, or Israel s champion dies! To thy protection this thy servant take, And save, oh, save us for thy servant s sake! With thunder arm d. . . da capo 65. Recitative Samson Be of good courage, I begin to feel Some inward motions, which do bid me go. Micah In time thou hast resolv d, again he comes. Enter Harapha. Harapha Samson, this second summons send our lords Haste thee at once; or we shall engines find To move thee, though thou wert a solid rock. Samson Vain were their art if tried, I yield to go, Not through your streets be like a wild beast trail d. Harapha You thus may win the lords to set you free. Samson In nothing I ll comply that s scandalous Or sinful by our law. - Brethren, farewell! Your kind attendance now, I pray, forbear, Lest it offend to see me girt with friends. Expect of me you ll nothing hear impure, Unworthy God, my nation, or myself. Micah So may st thou act as serves His glory best. Samson Let but that spirit (which first rush d on me In the camp of Dan) inspire me at my need 66. Accompagnato Samson Then shall I make Jehovah s glory known! Their idol gods shall from his presence fly, Scatter d like sheep before the God of hosts. 67. Air Samson Thus when the sun from s wat ry bed All curtain d with a cloudy red, Pillows his chin upon an orient wave; The wand ring shadows ghastly pale, All troop to their infemal jail Each fetter d ghost slips to his sev ral grave. 68. Accompagnato Micah With might endu d above the sons of men, Swift as the lightning s glance His errand execute, And spread His name amongst the heathen round. 69. Air and Chorus Micah The Holy One of Israel be thy guide, The Angel of thy birth stand by thy side! To fame immortal go, Heav n bids thee strike the blow The Holy One of Israel is thy guide. Israelites To fame immortal go Heav n bids thee strike the blow The Holy One of Israel is thy guide. Scene 2 Micah, Manoah, and Chorus of Israelites. 70. Recitative Micah Old Manoah, with youthful steps, makes haste To find his son, or bring us some glad news. Manoah I come, my brethren, not to seek my son, Who at the feast does play before the lords; But give you part with me, what hopes I have To work his liberty. 71. Air Philistine, at a distance Great Dagon has subdu d our foe And brought their boasted hero low Sound out his pow r in notes divine Praise him with mirth, high cheer and wine. 72. Chorus of Philistines, at a distance Great Dagon has subdu d our foe. And brought their boasted hero low Sound out his pow r in notes divine Praise him with mirth, high cheer and wine. 73. Recitative Manoah What noise of joy was that? It tore the sky. Micah They shout and sing, to see their dreaded foe Now captive, blind, delighting with his strength. Manoah Could my inheritance but ransom him, Without my patrimony, having him The richest of my tribe. Micah Sons care to nurse Their parents in old age; but you, - your son! 74. Air Manoah How willing my paternal love The weight to share Of filial care, And part of sorrow s burden prove! Though wand ring in the shades of night, Whilst I have eyes he wants no light. 75. Recitative Micah Your hopes of his deliv ry seem not vain, In which all Israel s friends participate. Manoah I know your friendly minds, and - A symphony of horror and confusion. Heav n! What noise! Horribly loud, unlike the former shout. 76. Chorus of Philistines, at a distance Hear us, our God! Oh, hear our cry! Death, ruin, falI n, no help is nigh, Oh mercy, Heav n, we sink, we die! 77. Recitative Micah Noise call you this? An universal groan, As if the world s inhabitation perish d! Blood, death, and ruin, at their utmost point! Manoah Ruin indeed! Oh, they have slain my son! Micah Thy son is rather slaying them; that cry From slaughter of one foe could not ascend. But see, my friends, One hither speeds, an Hebrew of our tribe. Scene 3 Enter a Messenger. 78. Recitative Messenger Where shall I run, or which way fly the thoughts Of this most horrid sight? O countrymen, You re in this sad event too much concem d! Micah The accident was loud, we long to know from whence. Messenger Let me recover breath; it will burst forth. Manoah Tell us the sum, the circumstance defer. Messenger Gaza yet stands, but all her sons are falI n. Manoah Sad, not to us! But now relate by whom? Messenger By Samson done. Manoah The sorrow lessens still, And nigh converts to joy. Messenger O Manoah! In vain I would refrain; the evil tale Too soon will rudely pierce thy aged ear. Manoah Suspense in news is torture, speak them out! Messenger Then take the worst in brief - Samson is dead. Manoah The worst indeed! My hopes to free him hence Are baffled all! But death, who sets all free, Hath paid his ransom now. Micah Yet, ere we give the reins to grief, say first How died he? Death to life is crown, or shame. Messenger Unwounded of his enemies he fell, At once he did destroy, and was destroy d; The edifice, where all were met to see, Upon their heads, and on his own he pulI d! Manoah Oh, lastly overstrong against thyself! A dreadful way thou took st to thy revenge Glorious, yet dearly bought! 79. Air and Chorus Micah Ye sons of lsrael, now lament, Your spear is broke, your bow s unbent. Your glory s fled, Amongst the dead Great Samson lies, For ever, ever, clos d his eyes! Israelites Weep, Israel, weep a louder strain; Samson, your strength, your hero, is slain! 80. Recitative Manoah Proceed we hence to find his body Soak d in vile Philistine blood; with the pure stream, And cleansing herbs wash off his clodded gore; Then solemnly attend him to my tomb With silent obsequies, and fun ral train. 81. Symphony dead march 82. Recitative Micah The body comes; we ll meet it on the way With laurels ever green, and branching palm; Then lay it in his monument, hung round With all his trophies, and great acts enrolI d In verse heroic, or sweet lyric song. Manoah There shall all IsraeI s valiant youth resort, And from his memory inflame their breasts To matchless valour, whilst they sing his praise. Enter Israelites with the body of Samson. 83. Air and Chorus Manoah Glorious hero, may thy grave Peace and honour ever have; After all thy pain and woes Rest etemal, sweet repose! Israelites Glorious hero, may thy grave Peace and honour ever have! 84. Solo and Chorus Israelite Woman The virgins too shall on their feastful days Visit his tomb with flow rs, and there bewail His lot unfortunate in nuptial choice. Virgins Bring the laurels, bring the bays, Strew his hearse, and strew the ways! Israelite Woman May ev ry hero fall like thee, Through sorrow to felicity! Virgins Bring the laurels, bring the bays Strew his hearse and strew the ways! Israelites Glorious hero, may thy grave Peace and honour ever have, After all thy pains and woes, Rest etemal, sweet repose! 85. Recitative Manoah Come, come! No time for lamentation now, No cause for grief; Samson like Samson fell, Both life and death heroic. To his foes Ruin is left; to him eternal fame. Micah Why should we weep or wail, dispraise or blame, Where all is well and fair to quiet us? Praise we Jehovah then, who to the end Not parted from him, but assisted still, Till desolation fill d Philistia s lands, Honour and freedom giv n to Jacob s seed. 86. Air Israelite Woman Let the bright seraphim in burning row, Their loud, uplifted angel trumpets blow. Let the cherubic host, in tuneful choirs, Touch their immortal harps with golden wires. 87. Chorus of Israelites Let their celestial concerts all unite, Ever to sound his praise in endless blaze of light. Handel,George Frideric/Samson
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Subjects-Computers&Internet-Networking-Networks,Protocols&APIs-General? Subjects-Computers&Internet-GraphicDesign-Printing? Subjects-Computers&Internet-General? Subjects-Engineering-Electrical&Electronics-Electronics-General? Subjects-Engineering-Electrical&Electronics-General? Subjects-Engineering-Industrial,Manufacturing&OperationalSystems-Manufacturing? Subjects-Professional&Technical-Engineering-Electrical&Electronics-Electronics-General? Subjects-Professional&Technical-Engineering-Electrical&Electronics-General? Subjects-Professional&Technical-Engineering-Industrial,Manufacturing&OperationalSystems-Manufacturing? Subjects-Science-General Troubleshooting and Repairing Computer Monitors (Tab Electronics Technician Library) Mcgraw-Hill? Stephen J. Bigelow? Mcgraw-Hill? StephenJ.Bigelow? ジャンル別? Subjects-Computers&Internet-Hardware-Maintenance,Repair&Upgrading? Subjects-Computers&Internet-Hardware-Microprocessors&SystemDesign-General? 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Microprocessors Support Chips McGraw-Hill Education? T.J. Byers? McGraw-HillEducation? T.J.Byers? ジャンル別? Subjects-Engineering-Electrical&Electronics-Electronics-General? Subjects-Professional&Technical-Engineering-Electrical&Electronics-Electronics-General? Subjects-Reference-General? Subjects-Science-Physics-Applied? Electronic Test Equipment Theory and Applications Mcgraw-Hill (Tx)? T. J. Byers? Mcgraw-Hill(Tx)? T.J.Byers? ジャンル別? Substores-UnknownASINs-1? Subjects-Engineering-Electrical&Electronics-Electronics-General? Subjects-Engineering-Electrical&Electronics-Electronics-Apparatus,Devices&Design? Subjects-Professional&Technical-Engineering-Electrical&Electronics-Electronics-General? Subjects-Professional&Technical-Engineering-Electrical&Electronics-Electronics-Apparatus,Devices&Design? Subjects-Reference-General? Subjects-Science-General Subjects-Science-Physics-Applied? ByPublisher-McGraw-Hill-McGraw-HillEngineeringStore-ElectricalEngineering-Instrumentation&LabVIEW? 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Fenwick Tree (または Binary Indexed Tree / BIT) (日本語の呼び名は無いみたい、強引に訳すると、フェンウィック木、２進索引付き木？） 部分的な値の更新を繰り返す必要のあるデータの累積和を高速取得できるデータ構造？ wikipediaによると1994年にピーター・フェンウィック氏が提案したデータ構造とのこと 競プロの問題 日本語 北海道大学の競プロサークルによるスライド解説 https //www.slideshare.net/hcpc_hokudai/binary-indexed-tree hos氏によるスライド解説(PDF) http //hos.ac/slides/20140319_bit.pdf naoya氏による解説 http //d.hatena.ne.jp/naoya/20090606/1244284915 anctgcc氏による解説(中学生にも分かるように説明しているらしい) http //anctgcc.hatenablog.com/entry/2014/12/03/194140 hadori氏による概要 http //algoogle.hadrori.jp/algorithm/binary-indexed-tree.html naos氏による概要 http //na-o-s.hateblo.jp/entry/2014/07/13/031143 Spaghetti Sourceによる概要 http //www.prefield.com/algorithm/container/fenwick_tree.html 英語 Wikipedia https //en.wikipedia.org/wiki/Fenwick_tree TopCoderでの解説記事 https //www.topcoder.com/community/data-science/data-science-tutorials/binary-indexed-trees/ CS Academyでの解説記事 https //csacademy.com/lesson/fenwick_trees HackerEarthでの解説記事 https //www.hackerearth.com/practice/notes/binary-indexed-tree-or-fenwick-tree/ https //www.hackerearth.com/practice/notes/binary-indexed-tree-made-easy-2/ HackerRankでの解説記事 https //www.hackerrank.com/topics/binary-indexed-tree GeeksForGeeksでの解説記事 http //www.geeksforgeeks.org/binary-indexed-tree-or-fenwick-tree-2/ GeeksForGeeksのBITに関する記事一覧 http //www.geeksforgeeks.org/tag/binary-indexed-tree/ gvikei氏によるポイント説明 http //codeforces.com/blog/entry/619 動画解説 https //www.youtube.com/watch?v=v_wj_mOAlig https //www.youtube.com/watch?v=CWDQJGaN1gY Wolframによるデモンストレーション http //demonstrations.wolfram.com/BinaryIndexedTree/ ライブラリ Haskell https //hackage.haskell.org/package/FenwickTree https //hackage.haskell.org/package/binary-indexed-tree-0.1
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visibility hidden; position absolute; top -8.5px; left 42.5%; border-width 5px; border-style solid; border-color #555 transparent transparent transparent; opacity 0; transition 0.7s; } .not_in_card hover after, .inaudible .img hover after { content ; visibility visible; top -13.5px; left 42.5%; opacity 0.8; transition 0.3s; } .not_in_card after { top -2.5px; left 50%; } .not_in_card hover after { top -7.5px; left 50%; } .not_in_card.hide after { visibility hidden; top -2.5px; opacity 0; transition 0.7s; } /** For mobile device styling **/ .uk-overflow-container { display inline; } #trackinfo.mobile { display table; float none; width 100%; margin auto; margin-bottom 1em; } #trackinfo.mobile th { text-transform none; } #trackinfo.mobile tbody tr not(.media) th { text-align left; background-color unset; } #trackinfo.mobile td { white-space normal; } document.addEventListener( DOMContentLoaded , function() { use strict ; const headers = { title アルバム別曲名 , album アルバム , circle サークル , vocal Vocal , lyric Lyric , chorus Chorus , narrator Narration , rap Rap , voice Voice , whistle Whistle (口笛) , translate Translation (翻訳) , arrange Arrange , artist Artist , bass Bass , cajon Cajon (カホン) , drum Drum , guitar Guitar , keyboard Keyboard , mc MC , mix Mix , piano Piano , sax Sax , strings Strings , synthesizer Synthesizer , trumpet Trumpet , violin Violin , original 原曲 , image_song イメージ曲 }; const rPagename = /(?=^|.*
https://w.atwiki.jp/kabutempra/pages/201.html
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https://w.atwiki.jp/kabutempra/pages/198.html
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https://w.atwiki.jp/vocaloidenglishlyric/pages/974.html
【Tags Gakupo Kaito Len Meiko Miku Rin S tS natsuP】 Original Music title スウィートメリークリスマス English music title Sweet Merry Christmas Romaji music title Suwiito Merii Kurisumasu Music Lyrics written, Voice edited by natsuP Music arranged by natsuP Singer(s) 初音ミク (Hatsune Miku), 鏡音リン (Kagamine Rin), 鏡音レン (Kagamine Len), Meiko, Kaito, 神威がくぽ (Kamui Gakupo / Camui Gackpo / Gackpoid) Click here for the original Japanese Lyrics English Lyrics (translated by motokokusanagi2009)： A warm fireplace and big tree Snow illuminations outside the windows Today is Christmas, all of us gathering Turn off the lights and light the candles We can feel enchanted A feast on the table Everyone is smiling happily It makes us all content The best present ever HAPPY MERRY CHRISTMAS time ticks away I wish I could stop this joyful moment SWEET MERRY CHRISTMAS sweet excitement We hope to celebrate this day together again next year When we believed in Santa Claus We were pure and didn t demand what we wanted As we grew up, We knew the world Being greedy, We forgot what happiness is The cake mom made, Xmas songs dad sang It made us content when we were little HAPPY MERRY CHRISTMAS time ticks away Don t forget how we use to feel SWEET MERRY CHRISTMAS sweet warmth I want to be someone who can give to people HAPPY MERRY CHRISTMAS never forget it Even though this joyful time will end soon SWEET MERRY CHRISTMAS sweet excitement We hope to celebrate this day together again next year (HAPPY MERRY CHRISTMAS never forget it) (Even though this joyful time will end soon...) (SWEET MERRY CHRISTMAS sweet excitement) (We hope to celebrate this day together again next year...) Romaji lyrics (transliterated by motokokusanagi2009)： atatakai danro ōki na tree to mado no soto dewa yuki no illumination kyō wa xmas minna de atsumatte denki o keshi candle tsuke reba mahō ga kakatta mitai table ni narabu go chisō minna no tanoshi sōna egao sore dake de shiawase na kimochi ni nareru ichiban no present happy merry xmas yoru wa fukete iku yo tanoshī toki kono mama toma reba īna sweet merry xmas amai tokimeki o rainen mo mata issho ni sugose masu yōni santa claus o shinji teta ano koro wa nani mo shira nakute nani mo motomete nakatta otona ninatte takusan no koto o shiri motomeru mono ga ō sugite shiawase haki chigae teta mama no tsukutta cake to papa ga utau fuyu no uta sore dake de shiawase na kimochi ni nareta osanai ano koro happy marry xmas yoru wa fukete iku yo ano koro no kimochi zutto wasure naide ite swet merry xmas amai nukumori o dare ka ni present dekiru hito de ari tai happy merry xmas zutto wasure naide tanoshī toki mō sugu owaru yo sweet merry xmas amai tokimeki o rainen mo mata issho ni sugose masu yōni (happy merry xmas zutto wasure nai de) (tanoshī toki mō sugu owaru yo...) (sweet merry xmas amai tokimeki o) (rainen mo mata issho ni sugose masu yōni...) [natsuP, natsu-P]
https://w.atwiki.jp/vocaloidenglishlyric/pages/145.html
【Tags Bousou-P BousouP E Miku Rin cosMo tA tN A】 Original Music Title 園庭想空の女少 Anti The Fantastic Garden / Nedrag Citsatnaf Eht Itna (Anti The Fantastic Garden / Entei Soukuu no Joshou) Music Lyrics written, Voice edited by cosMo / 暴走P (Bousou-P) Music arranged by cosMo / 暴走P (Bousou-P) Singer 初音ミク (Hatsune Miku), 鏡音リン (Kagamine Rin) Fanmade Promotional Video(s) Click here for the Japanese Lyrics English Lyrics (translated by ArtemisA )： Good job, you ve altered my dress-up doll And claimed her for yourself With her warped shape, surely they can tell she s an imposter That s the lie I tell myself [1] We re always told that it s easiest To live with our minds free of thought Living that pitiful life, unable to talk back Made me want to snap my brush I m tired of seeing the same old face And I m tired of hearing the same old story I thought I heard such a voice So I locked myself up inside my heart Even the dreams that come to us on the air waves [2] Will someday die away When that happens, what will be left for us? Good job, you ve continued the tale in your own way And claimed it for yourself Wrapped up in your fantasies, you wrote one, then another And when they started to accumulate I grew sick of it And ran away Thanks to our technology, with the birth of the cybernetic world Everyone is faceless, everyone is the same Even if I speak up, I sound like an idiot I put down my brush and scream I m tired of reading the same old verses And I m tired hearing the same old sounds Only a hazy voice echoed by Ringing from a megaphone What does it mean to "imitate"? Aren t you just being a teeny bit full of yourself? Does the answer lie in the words you can only repeat? The shadow I cast Was incredibly black We re always told that it s easiest To live with our minds free of thought Living that pitiful life, unable to talk back I snapped my brush Looks like this is the end... I m tired of staring at the same old face And I m tired of hearing the same old story Where and how did it happen That things came to be this way? I chide myself The "flowers" blooming in my garden [3] are like an obsession "Wrapped up in some imaginary original fantasy..." "...the girl who smiled listlessly, tired of searching..." "...has now been swallowed up..." "...by the shadows." [4] [1] There are a few places in the song where the use of the pronoun "jibun" ("myself/yourself/oneself"), or instead no pronoun at all, makes it difficult to tell if the lyrics are referring to the author or the addressees. [2] "Air waves" ("denpa" - "electric/radio wave") could refer to the key phrase of "The Fantastic Garden", "Itsumo yori takai shuuhasuu no takai denpa de otodoke shimasu" ("I m coming to you on a signal with a higher frequency than usual"), which is bitterly parodied in the description for this song ("[That] signal with a higher frequency than usual is ruining me") ...or not. [3] "Flowers" is written "hana" (flower), but read as "niji," which could mean a continuation. Following the Nico interpretation, the "garden" would refer "The Fantastic Garden," as a representation of all of cosMo s works. [4] "Shadows" is pronounced "kage," but written as "entei soukuu," which is the inverted "kuusou teien" ("fantastic garden). This song is vaguely related to "The Fantastic Garden (Shoujo no Kuusou Teien)," a fairly popular song of cosMo s, released about a month and a half before this one. The title of this song is an inversion of that of the former, thus the "Anti." The tones of the two songs are also complete opposites. The Nico hive mind has interpreted this song as an attack on creators who reinterpret cosMo s works in their own way, making the inverted title a reflection of the malformed shape these derivative works take. Romaji lyrics (transliterated by ArtemisA)： yoku dekita kisaekae ningyou no saibu ijitte jibun wo shuuchou suru yuganda KATACHI no utsuwa nisemono to shitte KORE shikanai to jibun ni uso wo tsuku nanimo kangaenaide ikiru no ga ichiban raku da to iwaretsuzukete iikaesenai usui ikikata ni fude wo oritaku natta onaji kao wa mou miakita onaji hanashi wa mou kikiakita sonna koe ga kikoeru youna kigashite kokoro no naka tojikomotta denpa no miseru yume mo itsuka wa kareru sono toki watashitachi ni nani ga nokorimasu ka? yoku dekita OHANASHI no tsuzuki no saibu ijitte jibun wo shuuchou suru gensou daki ichimai kaki nimai kaki tsumikasanatte iyakesashi nigedashita dennou sekai hatsu no gijutsu wa daremo ga onaji kaonashi no you de iikaesu no mo baka rashiku natte fude wo oite sakebu onaji uta wa mou miakita onaji oto wa mou kikiakita matohazurena koe dake sudoori shite kakuseiki kara narihibiita rashisa tte nan desu ka? chippokena jikomanzoku no koto desu ka? kurikaesareru kotoba ni kotae wa arimasu ka? jibun no otosu kage ga totemo totemo kuroku mieta nanimo kangaenaide ikiru no ga ichiban raku da to iwaretsuzukete iikaesenai usui ikikata ni fude wo otte kore de oshimai da ne... onaji kao wa mou miakita onaji hanashi wa mou kikiakita doko de dou natte koko made kite shimatta no to jibun wo semeru teien ni saku niji wa kyouhaku kannen no you de "arimoshinai ORIJINARU gensou daki" "motome tsukare chikaranaku warai" "shoujo wa ima" "kage ni nomikomareru" [cosMo, Bousou-P, BousouP]
https://w.atwiki.jp/v-lyrics/pages/319.html
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