著者
入口 陽介 小田 丈二 冨野 泰弘 依光 展和 園田 隆賀 岸 大輔 橋本 真紀子 中河原 亜希子 霧生 信明 清水 孝悦 水谷 勝 山里 哲郎 並木 伸 長濱 正亞 山村 彰彦 細井 董三
出版者
医学書院
巻号頁・発行日
pp.779-793, 2020-05-25

要旨●スキルスとは,病理組織学的に癌組織の間質に線維性組織増生が顕著な状態の総称であり,スキルス胃癌は臨床的に「胃癌取扱い規約」の肉眼型の4型を指すことが多い.そこで,本邦における4型胃癌の経時的な発生頻度,形態学的・病理組織学的特徴を検討した.全国集計による進行胃癌の肉眼型別・年次推移をみると,4型胃癌は,1984年度13.8%から2014年度6.5%に減少していた.また,当センターにおいて過去29年間に経験した4型胃癌93例を対象として,原発巣(粘膜内進展部)の部位と背景粘膜から,①胃底腺型,②腺境界型,③幽門腺型の3型に分類し,2007年度を境に前期45例,後期48例に分けて検討した.後期では胃底腺型が特に減少し,腺境界型,幽門腺型の割合が増加していた.胃底腺型は,前後期ともに原発巣の大きさが25cm2以下で陥凹は深く組織型は未分化型腺癌が多かった.一方,腺境界型は,前後期ともに原発巣の大きさが50cm2以上で陥凹は浅かったが,後期では組織混在型の割合が増加していた.幽門腺型は原発巣の大きさに比較して粘膜下層以深の面積は大きくなく,前後期ともに組織混在型が約30%に認められた.H. pylori感染状態の検討では,前期はすべて現感染であったが,後期では現感染42例,未感染2例(胃底腺型2例),除菌後4例(胃底腺型1例,腺境界型2例,幽門腺型1例)であった.以上から,スキルス胃癌,4型進行胃癌の正確な診断のためには,原発巣の部位・背景粘膜の相違による形態学的・病理組織学的特徴を十分に理解して,スクリーニング,精密検査を行うことが重要である.
著者
並木 伸賢 堀野 博幸
出版者
日本スポーツ心理学会
雑誌
スポーツ心理学研究 (ISSN:03887014)
巻号頁・発行日
vol.49, no.2, pp.137-156, 2022-09-30 (Released:2022-09-30)
参考文献数
77

In this review, we examined the literature on psychological aspects among professional soccer players and discussed the research trends in this field. National and international databases were searched using terms such as “psychological and (soccer OR football) and professional” and 56 studies were selected. A total of 15 psychological aspects were extracted from the selected studies. In addition, an overview of the studies revealed that (1) most of the studies were conducted in Europe and targeted approximately one soccer team, (2) most of the studies were survey or observational studies and only a few were intervention studies, and (3) most of the research topics were related to players’ mental health, with many studies dealing with aspects such as stress and coping strategies. From study designs, it can be said that the research targeting professional soccer players is still in the stage of identifying the psychological aspects among the players and organizing these in terms of significance. In the future, it will be necessary to determine the significant psychological aspects through research and suggest and evaluate interventions for professional soccer players.
著者
並木伸一郎著
出版者
学研プラス
巻号頁・発行日
2016
著者
伊藤 理紗 矢島 涼 佐藤 秀樹 樋上 巧洋 松元 智美 並木 伸賢 国里 愛彦 鈴木 伸一
出版者
一般社団法人 日本認知・行動療法学会
雑誌
認知行動療法研究 (ISSN:24339075)
巻号頁・発行日
vol.45, no.1, pp.13-22, 2019-01-31 (Released:2019-06-08)
参考文献数
17
被引用文献数
1

本研究では、(1)安全確保行動を恐怖のピークの前でとるか後でとるか、(2)恐怖対象への視覚的な注意の有無が、治療効果に及ぼす影響を検討した。ゴキブリ恐怖の大学生を対象に、四つの条件のいずれか一つに割り当てた:(a)恐怖ピーク後注意あり群、(b)恐怖ピーク後注意なし群、(c)恐怖ピーク前注意あり群、(d)恐怖ピーク前注意なし群。群と時期(エクスポージャー前・エクスポージャー直後・フォローアップ時)を独立変数、ゴキブリ恐怖を従属変数とした分散分析の結果、メインアウトカムである行動評定の恐怖度の変数において、時期の主効果が有意であった。また、セカンダリーアウトカムである想起時の回避度において、交互作用が有意であった。単純主効果の検定の結果、a・b群はフォローアップ時の回避度の改善が認められないのに対し、c・d群は改善が認められた。最後に、治療効果が認められた原因について考察した。
著者
並木伸一郎著
出版者
経済界
巻号頁・発行日
2007
著者
並木 伸賢 堀野 博幸
出版者
日本スポーツ心理学会
雑誌
スポーツ心理学研究 (ISSN:03887014)
巻号頁・発行日
pp.2022-2111, (Released:2022-06-30)
参考文献数
77

In this review, we examined the literature on psychological aspects among professional soccer players and discussed the research trends in this field. National and international databases were searched using terms such as “psychological and (soccer OR football) and professional” and 56 studies were selected. A total of 15 psychological aspects were extracted from the selected studies. In addition, an overview of the studies revealed that (1) most of the studies were conducted in Europe and targeted approximately one soccer team, (2) most of the studies were survey or observational studies and only a few were intervention studies, and (3) most of the research topics were related to players’ mental health, with many studies dealing with aspects such as stress and coping strategies. From study designs, it can be said that the research targeting professional soccer players is still in the stage of identifying the psychological aspects among the players and organizing these in terms of significance. In the future, it will be necessary to determine the significant psychological aspects through research and suggest and evaluate interventions for professional soccer players.
著者
並木 伸賢 堀野 博幸
出版者
日本スポーツ心理学会
雑誌
スポーツ心理学研究 (ISSN:03887014)
巻号頁・発行日
pp.2023-2209, (Released:2023-06-13)
参考文献数
46

This literature review aimed to investigate the literature on career support for university student-athletes to facilitate their career transitions and explore specific support components. National and international databases were searched using terms such as “student athlete,” “career,” and “intervention” and a final total of seven studies were selected. Robust data are not provided because of variations in theoretical background, study design, and outcomes. The content and effectiveness of support for student-athletes were described for each intervention period and support was categorized into six components: (1) Clarifying values and interests, (2) Identifying skills, strengths, and transferable skills acquired throughout their athletic career, (3) Providing or collecting information on work and occupations, (4) Expanding values and interests, and directing their attention to new areas, (5) Based on (1) to (4), considering links with the labor market and developing a career plan, and (6) Providing general support on career transitions. Stakeholders providing career support to university student-athletes should consider the six components presented in this review. In the future, data should be gathered to provide evidence-based practice, as well as examining the relationships between components and identifying which components provide more effective support.
著者
楠 隆昌 武井 ゆりあ 大川 修 中谷 行宏 吉野 耕平 唐鎌 優子 並木 伸 竹縄 寛 芝 祐信
出版者
一般社団法人 日本消化器内視鏡学会 関東支部
雑誌
Progress of Digestive Endoscopy (ISSN:13489844)
巻号頁・発行日
vol.84, no.1, pp.68-69, 2014-06-14 (Released:2014-06-21)
参考文献数
3
被引用文献数
1

Esophageal anisakiasis is a rare disease, accounting for about 0.2% of all cases of anisakiasis. A 26-year-old woman visited our hospital because of severe epigastric pain and heart burn several hours after eating pickled mackerel, which progressively worsened, and subsequently presented with fever. Contrast CT showed marked hypertrophy of the gastric wall and a significant edematous change in the lower esophagus, in addition to inflammation of the mediastinum. Upper gastrointestinal endoscopy revealed an Anisakis worm in the gastric corpus and lower esophagus. After removing it by endoscopy, her condition immediately improved. The present patient was complicated with mediastinitis. It was suggested that anisakiasis can become severe in an esophagus with a thin wall, as can be the case with the small intestine, where the worm may burrow in some cases. As in this case, we can achieve the marked amelioration of anisakiasis through the removal of worms. Thus we should perform endoscopy in the early stage. In addition, since some patients may ingest several worms of Anisakis, we should carefully check whether or not worms burrow in sites other than the stomach, where worms have already been identified.