著者

戸田 孝

出版者

一般社団法人 日本科学教育学会

雑誌

科学教育研究 (ISSN:03864553)

巻号頁・発行日

vol.38, no.4, pp.248-259, 2014 (Released:2015-01-19)

参考文献数

11

被引用文献数

1

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The working situation of museum staff members who were originally employed as school teachers was investigated by sending questionnaires to prefectural museums as well as municipal ones in ordinance-designated cities. Such staff members are working in about half of the target museums. More than half of the teachers are planning to return to schools in three to five years, but other are planning to stay longer. In about 40% of the museums, teachers’ duties are specialized in dealing with school pupils and group visitors. The teachers’ specializations are mainly social studies, science, and art. In some cases, teachers of Japanese language work as generalists in partnerships with schools.

著者

香川 泰生 神野 哲夫 佐野 公俊 片田 和広 MOHAMAD YUSUF SHAH 藤本 和夫 戸田 孝

出版者

The Japan Neurosurgical Society

雑誌

Neurologia medico-chirurgica (ISSN:04708105)

巻号頁・発行日

vol.17pt2, no.3, pp.243-251, 1977 (Released:2006-12-28)

参考文献数

17

被引用文献数

1 1

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Diagnosis of thalamic hemorrhage has become more accurate by CT scan, and the precise location and extent of hematoma can be visualized preoperatively, as well as postoperatively, i.e. the follow-up study showing the outcome of hematoma and secondary changes of the brain is more readily available. Operative procedure for such a lesion should be reevaluated. Thalamic hemorrhage constituted 27% of all hypertensive intracerebral hemorrhages in our series (the reported incidence was not so high). According to CT findings (except for 3 cases with giant hematoma), we could classify their main locations into 3 types as follows; —1) anterior type — located in the anterior nuclear group of the thalamus — 2 cases, 2) medial type located in the medial nuclear group of the thalamus — 2 cases, 3) posterolateral type located in the lateral nuclear group of the thalamus — 5 cases. As to the extention of hematoma, we devided all cases into the following 5 types; Type I — localized in the thalamus, Type II — medially extending & perforating into the third ventricle, Type III — laterally extending into the internal capsule and the basal ganglia, Type IV — spreading into all directions, Type V giant hematoma. This classification was found useful in relation to the clinical picture, the operative decision, the choice of operative method and the postoperative prognosis. The onset of the clinical picture was always sudden and included disturbance of consciousness and hemiparesis or hemiplegia. Of 8 cases which allowed a satisfactory clinical examination of sensory and motor function, only few cases showed signs of the thalamic syndrome. In 2 cases of giant hematoma with extensive spread, downward deviation of the eyeballs was noticed. Surgery should be performed; with exceptions to the following conditions — 1) no agreement of family, 2) over 75 years of age, 3) already representing the symptoms of brain stem, 4) severe associated deseases, 5) mild case (mainly level of consciousness). Based on CT findings the most suitable operative procedure should be adopted, — that is, only unilateral C.V.D. (continuous ventricular drainage) on localized type, bilateral or unilateral C.V.D. on medial type, trans-paracallosal approach on anterior type and posterolateral type, trans-temporal approach on lateral extention type, trans-paracallosal or trans-temporal approach combining irrigation-evacuation of the intraventricular clots on giant hematoma type and all extention type. Out of 12 cases six survived, and 3 cases have useful life. Relatively better prognosis was obtained in medial type, and in posterolateral type, but giant hematoma type and all extention type resulted in the worst outcome. In marked lateral extention type of posterolateral type improvement of hemiplegia was not good. Except for the massive intraventricular hemorrhage, the prognosis was dependent on the grade of deterioration of the thalamus, hypothalamus, and the midbrain rather than the ventricular perforation. Even if hematoma was not so large, delayed surgical treatment for C.S.F. obstruction due to ventricular perforation carried the poor prognosis on mortality and morbidity.

著者

小泉 敬一 勝又 庸行 星合 美奈子 戸田 孝子 喜瀬 広亮 長谷部 洋平 森口 武史 松田 兼一 杉田 完爾

出版者

特定非営利活動法人 日本小児循環器学会

雑誌

日本小児循環器学会雑誌 (ISSN:09111794)

巻号頁・発行日

vol.31, no.5, pp.246-253, 2015-09-01 (Released:2015-12-04)

参考文献数

28

被引用文献数

1 1

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背景:当施設で施行した重症川崎病に対する持続的血液濾過透析併用緩徐血漿交換療法(SPE+CHDF)の有用性と安全性について報告する.方法:当施設でIVIG不応性重症川崎病に対してSPE+CHDFを施行した12例を後方視的に検討する.結果:SPE+CHDFを12例13コース施行した.SPE+CHDF施行前の心機能検査所見は,ANP値,BNP値,心胸郭比がすべて高値であった.SPE+CHDF施行前と比較した施行1時間後,3時間後の心拍数の変化率,収縮期血圧の変化率は共に有意差はなかった.SPE+CHDFを施行中に,強心剤の使用例や血管内カテーテル感染,人工呼吸器関連肺炎合併例はなかった.全例でSPE+CHDF開始後1~4日(中央値1日)で解熱した.SPE+CHDF施行前に冠動脈病変を認めた7例は,1年以内に全例で退縮した.結論:重症川崎病には血漿交換療法(PE)が有効である.しかし,重症川崎病は循環動態不良例が多く含まれている.このため,重症川崎病に対して安全にPEを行うためには,SPE+CHDFが有用な方法の一つである.

著者

篠原 徹 飯田 浩之 井上 透 金山 喜昭 杉長 敬治 濱田 浄人 佐久間 大輔 戸田 孝 桝永 一宏 松田 征也 佐々木 秀彦 五月女 賢司 半田 昌之 守井 典子 田中 善明 石川 貴敏 水澤 喜代志 佐々木 亨 柏女 弘道 大川 真 高田 みちよ 神田 正彦 岩井 裕一 土居 聡朋

出版者

滋賀県立琵琶湖博物館

雑誌

基盤研究(B)

巻号頁・発行日

2013-04-01

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博物館を対象に全国規模で定期的に実施されている2つの調査の1つである「博物館総合調査」を継承する調査を、全国の4,045館を対象に平成25年12月1日を調査基準日として実施した。そして、その結果を分析すると共に、博物館の経営・運営と博物館政策の立案上の緊急を要する課題(現代的課題)の解決に貢献できる、「博物館の使命と市民参画」「指定管理者制度」「少子高齢化時代の博物館に求められる新しい手法の開発」「博物館の危機管理」の4つのテーマ研究を行った。これらの成果は報告書としてまとめ、Webサイトに掲載して広く公開している。