著者

上村 宗弘 中川 尭 脇屋 桃子 池田 長生 田守 唯一 山本 正也 伊藤 信吾 田中 由利子 岡崎 修 廣江 道昭 原 久男 諸井 雅男

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.44, no.6, pp.683-688, 2012 (Released:2013-11-28)

参考文献数

9

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目的: 冠動脈の石灰化スコアが冠動脈CTによる有意狭窄病変の診断精度に与える影響について検討した.方法: 64列冠動脈CT(64SCT)と侵襲的冠動脈造影を行った連続25名について, 64SCTの感度と特異度を冠動脈石灰化スコア(Agatston score)別に検討した. 評価対象とした冠動脈は主要3枝で内径が2mm以上とした. また, 最も高度な狭窄部位をその枝の評価対象とした.結果: 64SCTによる狭窄評価が侵襲的冠動脈造影と一致したものが, 49血管(65.0%), 過大評価は20血管(26.0%), 過小評価は6血管(8.0%)であった. 石灰化スコア1,000以上の患者では, それぞれ10血管(41.7%), 10血管(41.7%), 4血管(16.7%)であり, 400以上1,000未満の患者では8血管(53.3%), 5血管(33.3%), 2血管(13.3%), 400未満の患者では31血管(86.1%), 5血管(13.9%), 0血管(0%)であった. 侵襲的冠動脈造影で75%以上の狭窄に対する64SCTの感度および特異度は, 全患者では91.3%および78.8%であり, 石灰化スコア1,000以上では87.5%および56.3%, 400以上1,000未満では85.7%および75.0%, 400未満では100%および92.9%であった.考察: 石灰化スコア400未満では感度と特異度は十分であり, 400以上1,000未満でも特異度は比較的高い. このことは, 64SCTの結果の評価の一助となり得る.

著者

田中 由利子

出版者

九州大学大学院比較社会文化学府

雑誌

比較社会文化研究

巻号頁・発行日

no.31, pp.43-58, 2011

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The term "Furegashira" was introduced by studies on the control of the furegashira(触頭):a shrine appointed as a head of the Shinto priest organizations which were under the control of a particular feudal clan(藩) during the pre-modern period. The purpose of this study is to examine how a Shinto shrine with a lower rank was able to control other shrines with higher ranks. In this paper, I closely examined the dispatch of the imperial messengers, or Hōheishi-hakken(奉幣使発遣), to Kashii shrine in the Fukuoka domain, which happened three times—1744, 1804, and 1864—throughout the pre-modern period. In previous studies, furegashira were often venerable Shinto shrines with a long history and a high, or the highest, ranking status. However, Sakurai shrine in the Fukuoka domain had a short history and a low status, yet it was appointed to become furegashira by the second feudal lord of the Fukuoka domain, KURODA Tadayuki. It is believed his unwavering faith in the Sakurai Shrine is what lead to its granting of this status. The Sakurai shrine faced difficulties in controlling the other smaller and medium sized shrines of varying statuses, and those with higher status showed hesitation to obey the furegashira(Sakurai shrine's) commands. When the first Imperial messenger was sent, on the surface, the other Shinto priests and Ujiko(氏子), (local residents who worship the same guardian deity) seemed to recognize Sakurai shrine's new status of furegashira. In reality, however, they completely ignored this fact. It was after the visit of the second Imperial messenger that Sakurai shrine's status of furegashira was finally recognized by other Shinto priests. In can be said, therefore, that the Imperial messengers had a significant influence on the ability of Sakurai shrine furegashira to gain control over other shrines of the Fukuoka feudal clan, as well as the furegashira of Yoshidake-honjo(吉田家本所, the head of the Shinto school).

著者

田中 由利子

出版者

九州史学研究会

雑誌

九州史学 (ISSN:04511638)

巻号頁・発行日

no.172, pp.34-55, 2016-03