著者
原 克昭
出版者
東洋大学東洋学研究所
雑誌
東アジア仏教学術論集 = Proceedings of the International Conference on East Asian Buddhism (ISSN:21876983)
巻号頁・発行日
no.5, pp.261-289, 2017-01

「原克昭氏の発表論文に対するコメント」「張総氏のコメントに対する回答」含中・日・韓 国際仏教学術大会論文集-第5回学術大会テーマー仏教と伝統思想
著者
橋本 卓 金谷 整亮 池田 均 塚西 茂昭 信原 克哉 田中 道夫
出版者
日本肩関節学会
雑誌
肩関節 (ISSN:09104461)
巻号頁・発行日
vol.14, no.2, pp.245-248, 1990-09-01 (Released:2012-11-20)
参考文献数
4

We have measured the intra-articular pressure simultaneously with arthrography of the shoulder. In this study, changes in the intra-articular pressure were examined in unstable shoudlers associated with loose shoulder, rotator interval lesion, and traumatic recurrent anterior dislocaiton.Of the 731 shoulders (731 patients) in which intra-articular pressure was me a sured from 1981, the measurement was possible in 254 shoulders (254 patients). A total of 91 shoulders, consisting of 20shoulders with traumatic recurrent anterior dislocation,40 loose shoulders, and 31 shoulders with rotator interval lesion, were evaluated.Physiologic saline was in f used into the joint, and canges in the intra-articular pressure were recorded as electric signals through a transducer. The arm was moved up and down passively, and the pressure was measured at intervals of 10.In loose shoulder and rotator interval l e sion, the intra-articular pressure decreased as the arm was lifted higher, but the decreases were smaller than in normal shoulders. In these groups, there was a smaller pressure increase to the position of maximum uplift with a smaller peak value and within a narrower range than in the normal group. These findings were more notable in the shoulders with an FSH angle of 81' or greater. These results suggest that the intra-articular pressure reflects the joint capacity.In traumatic recurrent anterior dislocation, however, the decrease in the pressure in an early stage of arm lifting was the greatest among all groups including the normal group, and the pressure increase with arm lifting was gentler in shoulders with an FSH of 80 °or less, unlike in the other two groups.The changes in the intra-articular pressure in shoulders with traumatic recurrent anterior dislocation may be explained by disruption of the anterior capsular mechanism and muscle contraction due to anxiety over the possibility of dislocaiton during arm lifting as well as the looseness of the articular capsule.
著者
白井 邦博 丹正 勝久 篠原 克浩 小倉 真治
出版者
一般社団法人 日本消化器外科学会
雑誌
日本消化器外科学会雑誌 (ISSN:03869768)
巻号頁・発行日
vol.41, no.1, pp.1-11, 2008 (Released:2011-06-08)
参考文献数
35
被引用文献数
4 4

はじめに: 重症急性膵炎に対する膵局所動注療法; continuous regional arterial infusion(以下, CRAI)において, meropenem投与(以下, MP群)とimipenem投与(以下, IP群)で前向き無作為比較試験を行い, meropenemの有効性について検討した. 対象と方法: 対象は30症例で, 入院時にMP群(n=16)またはIP群(n=14)に無作為に割り付けた. 特殊治療は, 持続血液ろ過透析, 選択的消化管内殺菌法と経空腸的栄養療法を行った. 検討項目として, CRAI開始時期と施行期間, 動注部位, 特殊治療施行率, また厚労省重症度スコアとAPACHE IIスコア, SOFAスコア, CRP値を入院時と2週間後で比較した. 感染症と膵炎関連合併症や感染性膵壊死の発症率, 手術施行率, 死亡率, 感染部位, 起炎菌について検討した.結果: 年齢, 男女比, 成因, CRAI開始時期と施行期間, 動注部位, 特殊治療施行率は差がなかった. 各スコアとCRP値は, 入院時と2週間後で差はなかった. 感染症発症率はMP群37.5%, IP群42.9%と差はなく, 膵炎関連合併症発症率, 感染性膵壊死発症率, 手術施行率, 死亡率も有意差はなかった. 感染部位は喀痰とカテーテルが多く, 起炎菌に差はなかったが, 耐性菌や複数菌感染を認めた. まとめ: 重症急性膵炎の感染予防として, 発症72時間以内のmeropenemを用いたCRAIは, imipenemと同等の効果を認めた.
著者
桑原 克典 新田 貴士 Kuwahara Katsunori Nitta Takashi
出版者
三重大学教育学部
雑誌
三重大学教育学部研究紀要. 自然科学・人文科学・社会科学・教育科学 (ISSN:03899225)
巻号頁・発行日
vol.56, pp.1-29, 2005-03-31

三重大学の新田と名古屋大学の岡田によって汎関数空間上のFourier変換が定式化されたが、そこでの汎関数はƒ:{a:R→R}→Cというものを考えていた。一方、本論文ではdomainが測度空間(M, <special>μ0</special>)の場合、すなわちƒ:{a:M→R}→Cの場合を考えた。そして汎関数空間上のFourier変換を行うために、新田・岡田の理論にしたがって2回の拡大を用いるが、新田・岡田の2回の拡大がどんな*Nの無限大数よりも大きいような<special>☆(*N)</special>の無限大数の存在を保証するために、特殊なフィルターを用いていたのに対し、ここでは自然数全体の集合上のフレシェ・フィルターを含む超フィルターを用いる一般的な2回の拡大で議論を行った。そしてその結果、新田・岡田の場合と同様の結果が得られた。また、本論文は3つの章から構成されており、第1章では超準解析の議論に必要な事を簡単に述べ、第2章では超準解析の応用として知られているローブ測度空間とルベーグ測度空間の対応について、結果のみ述べる。そして最後の第3章では、本論文の題名にもなっている一般の汎関数空間上のFourier変換、但しdomainが測度空間の場合について述べる。
著者
水原 克敏 Katsutoshi Mizuhara
雑誌
尚絅学院大学紀要 = Bulletin of Shokei Gakuin University (ISSN:2433507X)
巻号頁・発行日
no.78, pp.1-17, 2019-12-18

2020年度からの大学入学共通テストは、問題山積のまま見切り発車を強行しつつある。それは多面的な能力や意欲等を評価する入試のあり方を志向し、かつ、英語4技能の評価を導入するという改革である。本稿では、まず、文部科学省の大学入試改革と共通テストの方針を検討し、次いで、各大学・高校が多面的な能力や意欲・主体性等についてどのように対応しようとしているのか、その実際的な動向を分析し課題について考察する。
著者
信原 克哉
出版者
西日本整形・災害外科学会
雑誌
整形外科と災害外科 (ISSN:00371033)
巻号頁・発行日
vol.23, no.4, pp.514-517, 1974

Although the recent literature abounds with explanations for rotator cuff injury and its diagnosis, there do not appear to be consistent observations concerning a well established treatment regimen. Many observations and questions have arisen which concern such matters as ability of the rotator cuff to heal and the relationship of rotator cuff pathology to its etiology. These statements generally indicate that rotator cuff injury is usually caused by trauma to a prevously degenerated tendon. More important than this matter, however, is the idea that treatment by suture alone is not enough. A coherent program including immobilization of the upper limb and other postoperative measures is essential. In this connection, an important consideration in the recovery of glenohumeral motion is that the fundamental function of the rotator cuff may be one of guiding the movement of the greater tubercle.
著者
三森 甲宇 中川 照彦 古屋 光太郎 信原 克哉
出版者
Japan Shoulder Society
雑誌
肩関節 (ISSN:09104461)
巻号頁・発行日
vol.18, no.2, pp.313-317, 1994
被引用文献数
2

(Purpose) Voluntary dislocation of the tendon of the long head of the biceps is extremely rare. Here we will report on this dislocation in one patient.<br>(Patient) The Patient, a 37-year-old male fell down with his arm extended. Since then, he had a click and pain of the shoulder when he elevated his arm. When he had contracted his biceps with his arm extended and internally rotated, the tendon of the long head of the biceps dislocated from the bicipital groove. By elevating the arm 135 degrees from that position, the tendon reposited with a click and pain. Arthrography showed a dislocation of the tendon of the long head of the biceps. Arthroscopy and a tenodesis of the biceps tendon were performed.<br>(Conclusion) When observing the shoulder joint of a cadaver, the insertion of the subscapularis tendon was separated into two layers. One was a superficial layer, the other a deep one. Some parts of the superficial layer formed the transverse ligament. So we believe that the tendon of the long head of the biceps is often dislocated accompanying with a tear of the subscapularis tendon.
著者
乾 浩明 町田 明敏 橋本 淳 信原 克哉
出版者
Japan Shoulder Society
雑誌
肩関節 (ISSN:09104461)
巻号頁・発行日
vol.25, no.3, pp.471-474, 2001

This study examines the glenoid cavity using three-dimensional MRI. Forty volunteers were enrolled in the study. Three-dimensional scapular images were reconstructed using an open MRI and computer software. The tilting angles of the glenoid bone were measured in five consecutive axial planes perpendicular to the glenoidal long axis. Cross sections were divided into three types (concave, flat, and convex)according to the shape on each plane.<BR>The average tilting angles for the five planes from the bottom to the top were 3.3&plusmn;4.1,1.4&plusmn;3.8, -0.6&plusmn;1.9, -1.4&plusmn;3.3, -6.2&plusmn;3.3 degrees anteriorly, indicating that the three-dimensional bony structure of the glenoid was twisted anteriorly to posteriorly. Images on the bottom plane consisted of 82.5% concave type,15% flat type, and 2.5% convex type, while only 3 cases (7.5%) showed a concave shape in the top plane. The shape of the glenoid cavity is thought to be conducive for glenohumeral motion and stability.
著者
建道 寿教 橋本 淳 橋本 卓 駒井 正彦 中村 真里 信原 克哉 中村 康雄
出版者
Japan Shoulder Society
雑誌
肩関節 (ISSN:09104461)
巻号頁・発行日
vol.28, no.3, pp.427-431, 2004
被引用文献数
2

The Purpose of this study was to analyze the articular contact pattern of the normal glenohumeral joint. There are few previous papers concerning the dynamic contact patterns, although the studies of using the cadaver or the tracking device have been reported. The subjects consisted of 10 normal volunteers. The subjects were fixed on a tilted stand with free motion around the scapula.3D MRI images were extracted at the scapular plane at every 30&deg; between 30&deg; and 150&deg; in the supine position. The images obtained at each position were transmitted to a personal computer and the description of the bony frame by digitizing methods using the analyzing software were developed. Three dimensional reconstruction of the glenohumeral joint were performed. The items of measurement were the following (1)The contact area; the distances between the humeral head and the glenoid surface were calculated and the distribution set at the distances were considered to be the contact area. The shortest distance was regarded as the proximity of the joint. The change of the center of the distribution was investigated. (2)The center of the humeral head (3) Kinematics of the humerus; (from the aspect of the scapula) Results: (1)In the contact area; the minimum contact area had shifted superiorly up to 90 or 120&deg; elevation, but after 120&deg; it shifted inferiorly. Concerning the antero-posterior direction of the glenoid, it shifted antero-inferiorly at the elevated position compared to that of the 30Thlevation. (2)In the center of the humeral head; it shifted superiorly at 120&deg; or 150&deg; compaired to the 30&deg; elevation. Its change was within 3mm. (3)In the Kinematics of the humerus; although the glenohumeral movement was totally 66&deg;, it was only 17' after 90&deg; elevation. We conclude that although the contact area shifted superior until 90&deg;, it shifted to the central part of the glenoid over 120&deg;, because the centripetal force might have worked at the elevated position. The distribution of the contact area was assumed to be reflected as a result of seeking a good congruity of the humeral head and the glenoid.
著者
瀧澤 哲也 中村 康雄 林 豊彦 駒井 正彦 信原 克哉
出版者
一般社団法人電子情報通信学会
雑誌
電子情報通信学会技術研究報告. MBE, MEとバイオサイバネティックス (ISSN:09135685)
巻号頁・発行日
vol.106, no.592, pp.1-4, 2007-03-09
参考文献数
6
被引用文献数
3

子供,大人を問わず野球投手は,肩・肘に障害を起こしやすい.一般的に,子供の投球障害は,身体が未発達である成長期におけるオーバーユースが主な原因と考えられている.これまでに臨床報告は数多くされてきたが,子供の投球動作を定量的に評価した報告は少ない.そのため,子供への指導や障害の予防は,経験や感覚に基づくものだった.したがって,子供の投球動作の定量的な評価が求められている.そこで本研究は,子供と大人の投球動作を定量評価して,比較・検討することを目的とする.子供45名,大人22名の投球動作を測定し,動力学的・運動学的に解析した.その結果,子供は上半身が前方へ先行する.規格化したモーメントの値は子供と大人でほぼ同等であることが示された.結果から,子供の投球障害を軽減するには,1)体幹・下半身を鍛える,2)球種や投球数を制限する,の2点が重要であると考えられる.
著者
中溝 寛之 橋本 淳 中村 真里 金谷 整亮 信原 克哉 中村 康雄
出版者
日本肩関節学会
雑誌
肩関節 (ISSN:09104461)
巻号頁・発行日
vol.28, no.2, pp.355-358, 2004-08-30 (Released:2012-11-20)
参考文献数
5
被引用文献数
1

The purpose of this study was to investigate the characteristics of baseball pitching motion in young pitchers. Sixty-five asymptomatic pitchers were analyzed with a motion capture system. The subjects were classified into two groups according to their age: A: 34cases (10-15 years old), B: 3lcases (19-34 years old). Kinematic and kinetic parameters were used to compare the differences between the two groups. Abduction and horizontal adduction angles of the upper arm were smaller in group A at ball release. The trunk was less flexed and twisted, but was bent much more toward the non-throwing side in the group A. There were no significant differences between the two groups with regard to the elbow angles, the wrist angles and the interval from arm-cocking phase to ball release. Our results showed that the young pitchers tend to put their pitch arm behind their trunk at ball release. That position is not close to “Zero Position”. It causes stretching the anterior structure of the shoulder. Furthermore, the shoulder is overloaded by the rotational stress from the end of armcocking phase to ball release. Repetition of this stress might cause epiphyseal damage for young pitchers. The young pitchers should be taught proper pitching mechanics. Limitation on pitches might be able to reduce the risk of epiphyseal damage in young pitchers.
著者
大井 雄紀 高木 陽平 土山 耕南 乾 浩明 信原 克哉 吉矢 晋一
出版者
日本肩関節学会
雑誌
肩関節 (ISSN:09104461)
巻号頁・発行日
vol.40, no.2, pp.675-677, 2016

Stride Foot Contact(SFC)における骨盤回旋,体幹と股関節の姿勢に注目し,年代別に運動学的検討をすることを目的とした.対象は野球投手287名:小学生(小)42名,中学生(中)94名,高校生(高)105名,コントロール群(コ)46名(19歳以上かつ球速120km/h以上)とした.対象者の投球動作をモーションキャプチャ・システムによりデジタル化した.大腿,腰部,体幹部に座標系を設定し,それぞれの座標系の回転をオイラー角で表した.全ての年代において,SFCの骨盤左回旋角度と相関関係がみられた変数は,それぞれ体幹左側屈角度(r = 0.5以上),右股関節内転角度(r = 0.49以上),右股関節伸展角度(r = 0.78以上),左股関節内転角度(r = 0.46以上),左股関節屈曲角度(r = 0.43以上)であった.骨盤が早期回旋しないよう体幹側屈,股関節屈曲伸展,内転に注目しながら投球指導を行う必要があると言える.