著者
濱 弘道 武田 功 黒木 裕士 角南 昌三 星野 一正 伊藤 一忠 山室 隆夫
出版者
京都大学医療技術短期大学部
雑誌
京都大学医療技術短期大学部紀要 = Annual reports of the College of Medical Technology, Kyoto University (ISSN:02867850)
巻号頁・発行日
vol.4, pp.8-14, 1984

The purpose of this study was to examine gross anatomy of the suprascapular nerve using 20 cadavers (14 male and 6 female), with special reference to the anomalous branch to the supraspinatus muscle and funicular pattern in the scapular notch. The branch to the supraspinatus muscle did not ramify proximal to the scapular notch, whereas the suprascapular artery passed under the superior transverse scapular ligament in 17.5% of the cadavers. Fourty percent of the scapular notches were type II by the classification of Rengachary. There was no adhesion between the suprascapular nerve and superior transverse scapular ligament which varied in size and toughness; the inferior transverse scapular ligament was, however, thin in 72.5%. Pseudoneuromas found just proximal to the superior transverse scapular ligament had no correlation with supraspinatus and infraspinatus muscle atrophy, which were not remarkable. The branch to the supraspinatus muscle superomedial in the scapular notch were located just below the superior transverse scapular ligament where friction neuritis was said to be occasionally seen. The present findings suggest that infraspinatus muscle atrophy is caused by suprascapular entrapment neuropathy at the spinoglenoid notch rather than at the scapular notch.
著者
星野 一正
出版者
一般社団法人 日本内科学会
雑誌
日本内科学会雑誌 (ISSN:00215384)
巻号頁・発行日
vol.85, no.12, pp.1983-1987, 1996-12-10 (Released:2008-06-12)
参考文献数
5

1970年代から不治の病で生命維持装置を付けられて延命されるのを拒む風潮が高まり,リビング・ウイルで意思表示することを認めたカリフォルニア州自然死法の制定以来,自然死・尊厳死が広まった.一方,自主的判断で自発的積極的安楽死あるいは自殺幇助を医師に要請する自己決定権を求める運動も盛んになり,新しい安楽死論議が高まってきた.第三者の同情や思い入れで他人の生命を絶つ慈悲殺は殺人行為であるのに行われている.
著者
星野 一正
出版者
日本医学哲学・倫理学会
雑誌
医学哲学 医学倫理 (ISSN:02896427)
巻号頁・発行日
vol.7, pp.89-101, 1989-07-31 (Released:2018-02-01)

As a senior medical teacher, I should like to analyze what teaching medical students means to me. There seems to be three fundamental principles in teaching medical students: The first principle is to teach students from the teacher's own knowledge and experiences what is deemed necessary for students, as future medical doctors, to know and understand as basic medical knowledge and techniques, and also to acquire the professional common sense that is needed when dealing with a number of patients and their families in a morally and ethically acceptable manner as future physicians and surgeons. The second teaching principle is to improve up to professionally acceptable levels the incomplete or immature knowledge that students have already obtained during their previous schooling or daily life. At the same time, a teacher has to guide students to acquire the ability to self-learn. However, the principle involved in teaching medical ethics and bioethics to medical students appears to be different from these two teaching principles. This is because ethical analysis of a medical problem provides no single answer due to the different ways that the values involved both in the medical problem and also in the quality of life of a patient may be treated by different people having different viewpoints. It is important to note that no teacher must force students to accept the teacher's personal opinions or viewpoints concerning his own ethical judgements related to any medical problems. A teacher and his / her students should freely exchange their opinions and viewpoints to analyze various aspects involved in a medical problem and learn together to reach some reasonable solutions. This collaborative learning process is vitally important in teaching medical ethics and bioethics to students. It is the third principle in teaching medical students.
著者
濱 弘道 武田 功 黒木 裕士 角南 昌三 星野 一正 伊藤 一忠 山室 隆夫
出版者
京都大学医療技術短期大学部
雑誌
京都大学医療技術短期大学部紀要 = Annual reports of the College of Medical Technology, Kyoto University (ISSN:02867850)
巻号頁・発行日
no.4, pp.8-14, 1984
被引用文献数
1

The purpose of this study was to examine gross anatomy of the suprascapular nerve using 20 cadavers (14 male and 6 female), with special reference to the anomalous branch to the supraspinatus muscle and funicular pattern in the scapular notch. The branch to the supraspinatus muscle did not ramify proximal to the scapular notch, whereas the suprascapular artery passed under the superior transverse scapular ligament in 17.5% of the cadavers. Fourty percent of the scapular notches were type II by the classification of Rengachary. There was no adhesion between the suprascapular nerve and superior transverse scapular ligament which varied in size and toughness; the inferior transverse scapular ligament was, however, thin in 72.5%. Pseudoneuromas found just proximal to the superior transverse scapular ligament had no correlation with supraspinatus and infraspinatus muscle atrophy, which were not remarkable. The branch to the supraspinatus muscle superomedial in the scapular notch were located just below the superior transverse scapular ligament where friction neuritis was said to be occasionally seen. The present findings suggest that infraspinatus muscle atrophy is caused by suprascapular entrapment neuropathy at the spinoglenoid notch rather than at the scapular notch.
著者
星野 一正 木村 利人 唄 孝一 中谷 瑾子 青木 清 藤井 正雄 南 裕子 桑木 務 江見 康一
出版者
京都女子大学
雑誌
総合研究(A)
巻号頁・発行日
1991

文部省科学研究総合A研究班として『患者中心の医療をめぐる学際的研究』というテーマのもとに、平成3年度からの3ヵ年間、専門を異にしながらもバイオエシックス(bioethics)の観点から研究をしている十名の共同研究者と共に研究を進めてきた。単に医学・医療の面からの研究では解明されえない人にとって重要な問題について、宗教学、哲学、倫理学、法律学、医療経済学、生物科学の専門家に、医学、医療、看護などの医療関係者も加わった研究班員一同が集まって、異なる立場から議論をし、さらに既に発表されている文献資料の内容を分析検討し、現在の日本社会に適した生命倫理観を模索しつつ共同研究を積み重ねてきた。第一年度には、主に「人の死をめぐる諸問題」を、第二年度には、主に「人の生をめぐる諸問題」に焦点を合わせて研究をし、第三年度には、前年度から進行中の研究を総括的に見直し、必要な追加研究課題を絞って研究を纏めると共に、生と死の両面からの研究課題についても研究を行った。最近、わが国において議論の多い次のようなテーマ:臓器移植、脳死、植物状態,末期医療、がんの告知、自然死、尊厳死、安楽死、根治療法が未だにないエイズ、ホスピス・ビハ-ラ、体外受精・胚移植、凍結受精卵による体外受精、顕微授精、男女の生み分け、遺伝子診断を含む出生前診断・遺伝子治療、人工妊娠中絶などすべて検討された。各年度ごとに上智大学7号館の特別会議室で開催してきた当研究班の公開討論会の第3回目は、平成6年1月23日に開催され、「研究班の研究経過報告」に次いで「医療経済の立場から」「法学の立場から」「生命科学の立場から」「遺伝をめぐるバイオエシックス」「生命維持治療の放棄をめぐる自己決定とその代行」「宗教の立場から」「臨床の立場から」の順で研究発表と質疑応答があり、最後に「総合自由討論」が行われた。今回は、3か年の研究を基にしての討論であっただけに、多数の一般参加者とも熱気溢れる討論が行われ、好評であった。