2 0 0 0 OA Terson’s syndromeの発生頻度およびその発生因子
- 著者
- 平松 亮 田辺 英紀 近藤 明悳 村尾 健一 中澤 和智 島野 裕史 安田 宗一郎 井上 洋人 柴田 真帆 高畠 望 國枝 武伸 三木 義仁 黒岩 敏彦
- 出版者
- 一般社団法人 日本脳卒中の外科学会
- 雑誌
- 脳卒中の外科 (ISSN:09145508)
- 巻号頁・発行日
- vol.37, no.4, pp.264-268, 2009 (Released:2010-03-20)
- 参考文献数
- 14
Terson's syndrome (TS) is a vitreous hemorrhage that develops in patients with subarachnoid hemorrhage (SAH) most frequently due to ruptured aneurysm. The reported incidence of TS has varied between 1.4 and 16.7%. Of 36 consecutive SAH patients that we treated, TS was diagnosed in 12 patients (33%). The reason that the incidence of TS in our patients series was much higher than previously reported was due to the use of a mydriatic agent to accurately diagnose TS and the examination of all 36 consecutive patients, including those with a high Hunt and Kosnik grade. In our study, the incidence of TS was significantly greater among patients with a higher grade of SAH according to a H & K classification, as noted in past reports (P-value=0.0047<0.05). Additionally, the incidence of TS was greater in patients with a higher SAH grade according to the classification proposed by Fisher (P-value=0.088>0.05). In this connection, we speculated that the mechanism of TS was the reflux of an abundance of blood drained into the orbital cavity via the Virchow-Robin space. Long-term retention of blood in the vitreous body may cause cell damage and delay the start of rehabilitation. Therefore, early treatment is preferable.
1 0 0 0 OA 地中海に於ける海洋性リゾート並びに海洋レジャーの実情とその対日比較
- 著者
- 田辺 英蔵
- 出版者
- 文教大学
- 雑誌
- 文教大学国際学部紀要 = Journal of the Faculty of International Studies Bunkyo University (ISSN:09173072)
- 巻号頁・発行日
- vol.1, pp.75-100, 1991-01-01
1 0 0 0 OA 発病モデルと回復モデル : 歴史的・理論的検討
- 著者
- 田辺 英
- 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.25, pp.1-10, 2007-10-18 (Released:2018-02-01)
In the history of medicine as well as in the modern clinical setting, conflicts between two contrastive models of explanation have been observed, the "pathogenic model" and the "recovery model". The pathogenic model focuses on how the pathological process is generated, and has its theoretical background based on the modern mechanistic view of nature. The recovery model focuses on how the recovery process occurs, and has its origin in the ancient Hippocratic school and teleological standpoint. In the context of modern science, the recovery model has always been criticized as a vitalistic and non-rational way of thinking. Some clinicians, however, have reported beneficial effects of certain symptoms. For instance, clinicians may use two different descriptions in the treatment of a fever: 1) the fever should be brought down because it is harmful to the body, or 2) the fever has a beneficial effect on the course of disease. Much research suggests that fever both benefits and harms the body. Therefore, clinical judgments will be based on assessments of these two aspects. Antagonism of the two models is one of the most fundamental themes in the history of medical theory. Hippocrates often referred to the "vis medicatrix naturae" and insisted upon the benefit of symptoms. On the other hand, scientists of the 17th century denied the existence of a "vis medicatrix naturae". To solve this conflict and obtain a basic theory of a model of recovery, we examined the concept of the norm with reference to the philosophy of G. Canguilhem.
1 0 0 0 日本鉄鋼協会第95回講演大会講演概要:加工
- 著者
- 宮島 明 山田 健夫 安藤 静吾 国岡 計夫 杉山 峻一 神尾 寛 島田 勝彦 角崎 周市 富川 隆信 山田 正義 小峰 勇 米谷 捻 角崎 周市 山田 正義 田辺 英也 森田 博之 入谷 正夫 宇野 義雄 手塚 栄 吉田 謙吾 小橋 正満 山田 信男 宮崎 四郎 西出 輝幸 浜田 一明 小西 敏弘 藤原 洋一 上田 正美 東 良学 片山 知行 高橋 昭夫 吉村 清信 土屋 安夫 天野 虔一 佐藤 俊彦 桑島 英明 浜島 吉男 高橋 亮一 川野 晴雄 横井 玉雄 成合 靖正 高力 満 鎌田 晃郎 高野 道典 山口 久 寺本 和啓 中山 武典
- 出版者
- 一般社団法人 日本鉄鋼協会
- 雑誌
- 鉄と鋼 (ISSN:00211575)
- 巻号頁・発行日
- vol.64, no.4, pp.S245-S256, 1978