著者

吉永 隆記

出版者

公益財団法人史学会

雑誌

史學雜誌 (ISSN:00182478)

巻号頁・発行日

vol.122, no.1, 2013-01-20

著者

吉永 隆記

出版者

京都精華大学

雑誌

京都精華大学紀要 = Journal of Kyoto Seika University (ISSN:09173986)

巻号頁・発行日

no.56, pp.299-310, 2023-03-31

著者

柘植 俊介 國友 隆二 吉永 隆 武田 守彦

出版者

公益財団法人 日本心臓財団

雑誌

心臓 (ISSN:05864488)

巻号頁・発行日

vol.49, no.1, pp.39-44, 2017-01-15 (Released:2018-01-15)

参考文献数

12

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症例は72歳男性.動悸を主訴に救急外来を受診したところ,持続性心室頻拍症と診断され電気的除細動を受けた.これまで冠疾患の既往はなかったが,心筋シンチでは一部心尖部を含み側壁から下壁にかけて集積低下を認めた.心臓カテーテル検査では,心尖部まで到達する灌流域の広い左回旋枝の有意狭窄病変に加えて,前側壁から心尖部および下壁にかけての左室瘤形成が認められた.狭窄部へのインターベンションと同時にアミオダロンが導入されたが,初回心室頻拍発作から18日後と92日後に持続性心室頻拍が発生し,いずれも救急外来での電気的除細動が必要となった.3回目の頻拍発生時期より視力障害を訴えるようになり,眼科で角膜色素沈着を指摘されアミオダロン角膜症が疑われた.左室拡張末期容積103 mL/m2,左室収縮末期容積67 mL/m2と心室瘤としては容量も小さく心不全症状も乏しかったが,不整脈手術と左室形成術を施行した.術後心室性期外収縮は著明に減少し,アミオダロンを中止してからも心室頻拍の発生は認められていない.

著者

田中 修實 吉永 隆記

出版者

就実大学, 就実短期大学

雑誌

就実論叢 (ISSN:02859548)

巻号頁・発行日

no.41, pp.1-38, 2011

著者

吉永 隆記

出版者

公益財団法人 史学会

雑誌

史学雑誌 (ISSN:00182478)

巻号頁・発行日

vol.122, no.8, pp.1345-1373, 2013

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The research done recently on the activities of provincial-based proprietors of the warrior class (kokujin 国人) during the Muromachi and Sengoku periods tends to place emphasis on their relationship to the shoguns of the time. However, while it is clear that kokujin did profit from their connections to the shogunate while in Kyoto, their activities in the capital were by no means confined to that relationship alone. The present paper attempts to describe the actual circumstances surrounding kokujin life in the capital and thus clarify its true meaning. It was the custom of kokujin who managed the provincial estates donated to Toji temple, like the Niimi Clan of Bicchu Province, to locate kinsfolk in Kyoto in order to further their political and economic interests, including appointments to act on Toji's behalf at the temple's estates located in their home regions. In the case of the Niimi Clan, their Kyoto activities resulted in the appointment to the office of Mikurashiki 御蔵職, which involved the management of the storehouses (Kurodo-dokoro 蔵人所) and financial affairs of the imperial family and became intimately connected with iron production in various provinces. During the Tokugawa period it was the Matsugi 真継 Clan who would wrest the office of Mikurashiki from the Niimi Clan and thus govern over the country's cast iron founders ; but during the preceding Sengoku period, it was the Niimi Clan who set the precedent of imperial control over the iron founders of the Kinai Region. As the manager of Toji's Niimi Estate, the Niimi Clan was able to utilize the estate's iron production facilities to its advantage through commercial traffic with the ironmongers of the Kinai Region, whom the Niimis also employed to carry the estate's tribute to Toji temple in Kyoto. In other words, in their close dealings with Kinai merchants on the commercial routes in search of cast iron, the Niimis used these connections in their successful management of Toji's estate. It was through this process that the Niimi Clan set up its relations with the iron founders of the Kinai Region and profited from the office of Mikurashiki to the benefit of both parties. The author concludes that kokujin of the Sengoku period were ambitiously involved in the aggrandizement of their interests through their activities in the capital of Kyoto in the midst of diverse personal relationships with the capital's most powerful people, including not only the shogunate, but also the great religious institutions and the imperial family, thus protecting their interests both at their local seats of power and at the central core of authority in the capital.