著者

佐野 武

出版者

日本臨床外科学会

雑誌

日本臨床外科学会雑誌 (ISSN:13452843)

巻号頁・発行日

vol.80, no.10, pp.1771-1778, 2019 (Released:2020-04-30)

参考文献数

10

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胃癌手術は1881年Billrothによる幽門側胃切除術の成功例に始まり,その弟子のMikuliczによるリンパ節郭清の体系化を受けて,切除・郭清範囲が拡大した.我が国では胃癌研究会による全国胃癌登録の膨大なデータ解析を経てD2郭清手技が確立し,更なる拡大郭清へと進んだが,欧米では乳癌に対するランダム化比較試験(RCT)の結果に基づく腫瘍学的思考が胃癌治療にも及び,リンパ節郭清の役割は治療よりむしろステージ診断であるとの考えが浸透した.1980年代以降,胃癌手術のRCTが欧州と日本で展開され,「経験を積んだ外科医による膵脾合併切除を伴わないD2リンパ節郭清(それ以上でも以下でもない)」が,早期癌を除く胃癌に対して推奨される術式となっている.2000年代に入ってからは化学療法の発展に伴い補助療法のエビデンスが次々と生まれ,外科医は集学的治療における手術の役割を認識しつつ過不足のない胃切除術を安全に行うことが求められるようになっている.

著者

佐野 武仁 内田 敦子 Takehito SANO Atsuko UCHIDA 昭和女子大学生活環境学科 昭和女子大学生活環境学科 Department of Human Environmental Science and Design Showa Women's University Department of Human Environmental Science and Design Showa Women's University

出版者

昭和女子大学近代文化研究所

雑誌

學苑 = GAKUEN (ISSN:13480103)

巻号頁・発行日

vol.813, pp.49-57, 2008-07-01

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There are various theories about the origin of glass. One is that glass beads were made during the time of the Old Kingdom in Egypt (27th-22nd century BC). Another suggests that glass was first manufactured around 18th-17th century BC. The truth is uncertain. Without a doubt, however, glass has been a notable feature of a great deal of architecture, most notably the Crystal Palace which was built on the grounds of the first World Exposition, held in Hyde Park, London, in 1851. It was an enormous building made from an iron frame work and glass. The theme of this paper is the continuing evolution of glass architecture. It discusses design, and plans which make full use of state-of-the-art technology to achieve energy conservation. Here, the term "glass architecture" refers to buildings whose outer walls and roofs are mainly or entirely made of glass. The distinguishing features of glass architecture can be described as follows: (1) In glass architecture, the aim is to bring more light into the building, and thereby create building with a healthy environment and outstanding occupant comfort, which prevents people from getting sick. This can be achieved by skillfully using natural conditions such as light and heat. (2) Transparent architecture allows people to see the sunny sky on clear days, and the cloudy sky when it is overcast. Sunshades are indispensable fixtures which enable adjustment of light and heat. (3) Glass architecture is the starting point for greenhouses, and the standard practice is to investigate greenhouses first when looking at design and functions such as ventilation or the heat/light environment. (4) If intelligent design and function are built in, then it is possible to construct glass architecture with outstanding occupant comfort, and low overhead thanks to energy conservation. (5) Since there are too many types of glass, and this makes things difficult to understand, a classification is used which combines the glass manufacturing process and sunshades.

著者

川原 奈津子 佐野 武仁 山口 温

出版者

昭和女子大学

雑誌

學苑 (ISSN:13480103)

巻号頁・発行日

vol.766, pp.85-92, 2004-07-01

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When young, one of the authors heard someone say 'In fact there's little difference between the refreshing waterfall sound and the traffic noise on roads.' So-called good sounds include insects' chirping, tinkles of the wind-bell and piano tunes. Bad ones include noises of trams or machinery. What makes the difference between a 'good sound' and a 'bad sound'? This paper intended to visually compare the frequencies of various sounds using Windows Media Player. The results obtained were as follows. 1. So-called good sounds generally had sharp fluctuations in their frequency ranges as shown on attached graphs. 2. So-called bad sounds had less sharp fluctuations in their frequency ranges, hence did not show a clear sound. 3. However, the fluctuations of the waterfall sound and the fluctuations of the traffic noise of the road were not very different, which suggests for some sounds the existence of other factors such as listeners' psychology; memories of the past, the milieu and connotations.

著者

佐野 武仁 山口 温 渡部 紀子 内田 敦子

出版者

一般社団法人日本建築学会

雑誌

学術講演梗概集. D-2, 環境工学II, 熱, 湿気, 温熱感, 自然エネルギー, 気流・換気・排煙, 数値流体, 空気清浄, 暖冷房・空調, 熱源設備, 設備応用 (ISSN:1341450X)

巻号頁・発行日

vol.1998, pp.5-6, 1998-07-30

被引用文献数

1

著者

及川 芳徳 藤本 佳也 秋吉 高志 上野 雅資 福長 洋介 長山 聡 小西 毅 小川 景子 有田 淳一 古賀 倫太郎 齋浦 明夫 峯 真司 山田 和彦 布部 創也 比企 直樹 谷村 慎哉 佐野 武 山口 俊晴

出版者

一般社団法人日本外科学会

雑誌

日本外科学会雑誌 (ISSN:03014894)

巻号頁・発行日

vol.113, no.2, 2012-03-05