著者
塩谷 彰浩 大久保 啓介 福田 宏之 小川 郁
出版者
The Japan Laryngological Association
雑誌
喉頭 (ISSN:09156127)
巻号頁・発行日
vol.14, no.2, pp.69-73, 2002
被引用文献数
1

Juvenile laryngeal papillomatosis develops between the ages of 6 months and 4-5 years and runs a multiple and recurrent clinical course. There were 61 patients with laryngeal papillomatosis treated at Keio university hospital during the 20-year period between May 1981 and May 2001, of whom 20 patients were under the age of 15 at onset. The average number of repeated operations they received was 18.1, showing the pronounced multiple, recurrent trend of this disease. Treatment is basically laryngomicrosurgery using a CO<SUB>2</SUB> laser, and attempts should be made to conserve normal mucosa as much as is practicable as well as to improve phonation and respiratory function, in addition to targeting the total resection of the tumor. As the human papilloma virus, which is etiologically responsible for the formation of papillomas, grows in the mucosal epithelium, it is in principle, sufficient to vapolize the epithelial layer alone, avoiding a deeper intervention than is required. Tracheostomy should be avoided wherever feasible because it may cause tumor dissemination. Development of effective adjuvant therapy, besides surgery, is also generally anticipated. Efficacy of interferon-&alpha; in this disease has been demonstrated and indole 3 carbinol (I3C), a major component of cabbage, and the antiviral agent cidofovir are also currently used. Independently, we focused on Chinese medicines, prescribing this type of herbal medicines in anticipation of their effects for contraction of residual tumor and preventive effects against recurrence. It is worth noting that favorable results have been observed in 6 of the 10 patients receiving Chinese medicines whose therapeutic responses could be evaluated.
著者
塩谷 彰浩 大久保 啓介 福田 宏之 小川 郁
出版者
日本喉頭科学会
雑誌
喉頭 (ISSN:09156127)
巻号頁・発行日
vol.14, no.2, pp.69-73, 2002-12-01 (Released:2012-09-24)
参考文献数
16
被引用文献数
1 1

Juvenile laryngeal papillomatosis develops between the ages of 6 months and 4-5 years and runs a multiple and recurrent clinical course. There were 61 patients with laryngeal papillomatosis treated at Keio university hospital during the 20-year period between May 1981 and May 2001, of whom 20 patients were under the age of 15 at onset. The average number of repeated operations they received was 18.1, showing the pronounced multiple, recurrent trend of this disease. Treatment is basically laryngomicrosurgery using a CO2 laser, and attempts should be made to conserve normal mucosa as much as is practicable as well as to improve phonation and respiratory function, in addition to targeting the total resection of the tumor. As the human papilloma virus, which is etiologically responsible for the formation of papillomas, grows in the mucosal epithelium, it is in principle, sufficient to vapolize the epithelial layer alone, avoiding a deeper intervention than is required. Tracheostomy should be avoided wherever feasible because it may cause tumor dissemination. Development of effective adjuvant therapy, besides surgery, is also generally anticipated. Efficacy of interferon-α in this disease has been demonstrated and indole 3 carbinol (I3C), a major component of cabbage, and the antiviral agent cidofovir are also currently used. Independently, we focused on Chinese medicines, prescribing this type of herbal medicines in anticipation of their effects for contraction of residual tumor and preventive effects against recurrence. It is worth noting that favorable results have been observed in 6 of the 10 patients receiving Chinese medicines whose therapeutic responses could be evaluated.
著者
川井田 政弘 福田 宏之 川崎 順久 塩谷 彰浩 酒向 司 辻 ドミンゴス 浩司 甲能 直幸
出版者
The Japan Society of Logopedics and Phoniatrics
雑誌
音声言語医学 (ISSN:00302813)
巻号頁・発行日
vol.32, no.1, pp.11-17, 1991
被引用文献数
1 2

非特異性喉頭肉芽腫の5例に対して副腎皮質ステロイド薬の吸入療法を主体とした保存的治療を行った.3例が挿管性, 他の2例が特発性の肉芽腫であった.挿管性肉芽腫の1例はネブライザーを用いて, dexamethasoneの吸入を行ったところ, 約6ヵ月間で治癒した.他の4例はbeclomethasone dipropionate inhaler (BDI) を用いて外来通院で治療したところ, 約1ヵ月ないし3ヵ月半で治癒した.なお, 全例とも不要な咳払いや大声を避けるように指導した.非特異性喉頭肉芽腫の発生原因として, 声門後部の微細な損傷と咳嗽や咳払いによる同部の強い閉鎖に起因する悪循環が考えられた.副腎皮質ステロイド薬の吸入療法では抗炎症作用による直接作用とともに, 間接作用としてこの悪循環を断ち切ることも効果発現に関与していることが考えられた.このうち, BDIの吸入療法は外来でも簡便に行うことができ, 治療法のひとつとして有用と思われた.
著者
福田 宏 姉川 雄大 河合 信晴 菅原 祥 門間 卓也 加藤 久子
出版者
成城大学
雑誌
基盤研究(C)
巻号頁・発行日
2020-04-01

本研究は、社会主義期の旧東欧諸国を事例として権威主義体制の強靱性を明らかにしようとするものである。従来の政治学の議論では、全ての国や地域は民主化されるべきであり、実際においても、その方向に向かっているという暗黙の了解が存在した。ところが、2010年代半ば頃より、民主主義の「後退」や権威主義体制の「しぶとさ」が盛んに議論されるようになってきている(例えば、モンク『民主主義を救え!』2019)。その点において、東欧の権威主義体制は今こそ参照すべき歴史的経験と言える。本研究では、史資料の公開やオーラルヒストリーによって急速に進みつつある歴史学上の成果を活かしつつ、当時における体制の内実に迫りたい。
著者
宮崎 誠司 浜田 一寿 中島 知隆 内山 善康 福田 宏明
出版者
Japan Shoulder Society
雑誌
肩関節 = Shoulder joint (ISSN:09104461)
巻号頁・発行日
vol.22, no.3, pp.371-374, 1998-09-30
参考文献数
9
被引用文献数
1

In order to evaluate the residual disabilities caused by chronic acromioclavicular (A-C) dislocations,14 Judo athletes (7 cases of Grade II and 7 cases of Grade III) injuries were reviewed. Clinical examinations and isokinetic muscle strength of internal/external rotation and of flexion/extension in the supine position were examined. In Grade II, there were no clinical symptoms or differences in isokinetic muscle strength between the involved and uninvolved sides.<BR>In Grade III,4 cases had motion pain and 3 cases felt weakness in Judo practice. In Grade III the A-C joints, the directions of instability were horizontal as well as vertical. Work magnitudes of extension (60 deg/sec) and those of external rotation at 30&deg; abduction (60 and 120 deg/sec)were less in the involved side than those in the uninvolved sides. Isokinetic muscle strength of extension and external rotation at 30&deg; abduction (60 deg/sec) in Grade III was smaller than that in Grade II. Characteristically, the involved side of Grade III cases had less power than the uninvolved side in flexion/extension above the horizontal level. In Grade III, the torn A-C capsular and coracoclavicular ligaments produce more unstable A-C joints than in Grade II.<BR>During an arm elevation above the horizontal level, more than 3/4 of a clavicle rotation occurs and is controlled by the trapezoid ligament. Unstable A-C joint causes an unstable scapula, leading to muscle weakness of the shoulder, especially in flexion/extension above the horizontal level. The current study showed that the Grade III had patterns in the flexion/extension which were different in the involved and uninvolved sides.<BR>This could explain why there is weakness above the horizontal level in Grade III injuries. Therefore, an operation is recommended for Grade III A-C injuries of Judo athletes.
著者
内山 善康 浜田 一寿 中島 知隆 福田 宏明 宮崎 誠司
出版者
Japan Shoulder Society
雑誌
肩関節 = Shoulder joint (ISSN:09104461)
巻号頁・発行日
vol.22, no.3, pp.537-541, 1998-09-30
参考文献数
10
被引用文献数
6

The purpose of this study was to compare the limitations between the external rotation (ER) of athletes in overhand sports players (OS) and judo players (JP) with traumatic anterior shoulder instability after a modified inferior capsular shift (MICS)procedure. Thiryt-two shoulders of OS and 38 shoulders of JP were operated on using MICS and were observed for more than 12 months postoperatively.<BR>Twenty-six dominant and 6 nondominant shoulders were examined directly. There were 21 &ldquo;tsurite&rdquo; (lapel grip) and 17 &ldquo;hikite&rdquo; (sleeve grip) shoulders in JP. The average ages at surgery of OS and JP were 22.9 and 21.5 years old, respectively.<BR>All the patients had had an episoders of sports injury. There were no recurrences in OS, but 3 (8%)in JP. In OS,12% of the dominant shoulders and 67% of the no ndominant sides after MICS could perform better their sports activities than preoperatively. The ratios of JP which showed a better performance were 15% of operated &ldquo;tsurite&rdquo; and 52% of the operated &ldquo;hikite&rdquo; sides. The average decrease of ER motion in dominant shoulders of OS was 18.8&deg;in the hanging position and 14.5&deg;in 90&deg;of abduction. In JP, &ldquo;tsurite&rdquo; sides had 3.3&deg;and 4.8&deg;of limitation on 0&deg;and 90&deg;of abduction, respectively. There was on other limitation of ROM in either OS or JP, postoperatively. Based on comparisons of ER motion between OS and JP showing better sport activity, ER at 90&deg;abduction should be 80&deg;for the dominant side of OS and 85&deg;for the &ldquo;tsurite&rdquo; side of JP in order to get a better performance, postoperatively. Thus, the &ldquo;tsurite&rdquo; side in JP should be treated in the same manner as that of the dominant side of OS.
著者
福田 宏之 斎藤 成司 都築 達 牟田 弘 高山 悦代 藤岡 正 鈴木 理文 北原 哲 磯貝 豊 粉川 信行 市川 忠 牧野 克巳
出版者
The Japan Broncho-esophagological Society
雑誌
日本気管食道科学会会報 (ISSN:00290645)
巻号頁・発行日
vol.35, no.2, pp.101-106, 1984-04-10 (Released:2010-02-22)
参考文献数
6
被引用文献数
4 3

Nobody can deny that lubrication is one of the factors which influences the phonatory function of the larynx. However, no notable studies on the mechanism of lubrication have ever been carried out. This study is an effort to clarify how the larynx is lubricated.In the present study, it is revealed that the secretory fluid from the tracheal and subglottic spaces passes instantly through the glottis at the moment of the onset of phonation. Thus, the initiation of the lubrication is accomplished. The fluid from the subglottis is then mixed with the supraglottic fluid which comes mainly from the ventricular gland. A lubricant column is bilaterally made by the mixed fluid on the upper surface of the vocal folds. This lubricant column is rotating perpendicularilly to the free edge of the folds. The lubricant column may lubricate the folds which vibrate during phonation. At the end of phonation, the column decomposes and mostly flows backward to the subglottis. By this flow, the glottis is lubricated again.In this paper, the results mentioned above were discussed and analyzed from the viewpoint of phonodynamics.
著者
碇 朋子 岩崎 邦彦 大平 純彦 勝矢 光昭 小出 義夫 五島 綾子 小林 みどり 鈴木 直義 鈴木 竜太 高野 加代子 福田 宏 堀内 義秀 武藤 伸明 森 勇治 湯瀬 裕昭 渡邉 貴之 渡部 和雄
出版者
静岡県立大学
雑誌
経営と情報 : 静岡県立大学・経営情報学部/学報 (ISSN:09188215)
巻号頁・発行日
vol.14, no.2, pp.69-82, 2002-03-25

School of Administration and Informatics (hereafter, AI) at the University of Shizuoka holds a monthly faculty research session. In the academic year of 2001-02, it was decided that the research session would adopt the systems conversation (i.e. brainstorming) style of the International Systems Institute, and have the following steps: 1. Decision on the theme to work on; 2. Input paper circulation and dialogue by email; 3. Conversation session; 4. Circulation of report from a conversation session, which also serves as the input paper for the next session; and, 5. Final report based on the above interactions. Participation in the input paper submission, conversation, and report writing is all-voluntary. It was decided that the theme be "Roles of Information Education and Computer Education in the Educational Program of the School of Administration and Informatics." This is a topic that all the AI faculty from various academic disciplines could work on. Through such a conversation process, we have two major outcomes: 1. Dialogue among the AI faculty across their A (Administration and Accounting), M (Mathematics and Model-building), and C (Computer and Communication) backgrounds. 2. Common understanding that the AI faculty members have various interpretations of the concepts such as information education; computer education; nature and levels of information and computer-related knowledge and skills the AI graduates are expected to have. Yet, regarding the necessary levels of knowledge and skills required for the AI graduates, the AI faculty seems to have, or have come to an agreement on their contents. Another point of agreement is that information education and computer education need to be linked not only to their advanced levels, but also the A and the M courses.
著者
勝矢 光昭 小林 みどり 福田 宏 山浦 一保
出版者
静岡県立大学
雑誌
経営と情報 : 静岡県立大学・経営情報学部/学報 (ISSN:09188215)
巻号頁・発行日
vol.19, no.1, pp.37-55, 2006-11-15

We have surveyed student satisfaction with the curriculum, the graduation research paper system, the facilities, the services, etc. in the School of Administration and Informatics, University of Shizuoka from 1997. In this paper we report and analyze the results of the survey. This will be used as the basis for improvements of the educational environment of our university.
著者
福田 宏 清水 道夫 植松 正吾 勝矢 光昭
出版者
一般社団法人情報処理学会
雑誌
情報処理学会論文誌 (ISSN:18827764)
巻号頁・発行日
vol.42, no.5, pp.1194-1197, 2001-05-15
参考文献数
10

符号付きポリオミノをジェネレータとして用いることによって,映進対称性を持つフラクタル・テクスチャパターンを生成する新しいアルゴリズムを提案する.そして,ジェネレータの条件を考察し,具体的な生成方法と生成図形を示す.We propose the generating method of new regular fractal texture patterns with the glide symmetry by using the signed polyominoes.We consider the generating conditions of the patterns and describe the generating algorithm.Some generated patterns are illustrated.
著者
福田 宏之
出版者
特定非営利活動法人 日本頭頸部外科学会
雑誌
頭頸部外科 (ISSN:1349581X)
巻号頁・発行日
vol.3, no.2, pp.119-124, 1993-11-26 (Released:2010-07-27)
参考文献数
7

早期声帯癌に対しては,放射線療法,内視鏡下レーザー治療,声帯切除などが試みられる。いずれも一長一短あり適応を間違えなければそれぞれ優れている面がある。喉頭を切開して患側声帯を切除するのが切除範囲を決めたり,確実に切除するのに適している。しかしこの場合の欠点は残された音声に相当の障害が残ることである。それは声門閉鎖不全のため気息性の強い嗄声となるためである。そこで同側仮声帯の後部を茎とする筋粘膜弁を作成し,声帯を切除した跡地に移動,縫合して新しい声帯を作り声門閉鎖不全を防ぐ再建手術を考案した。声帯切除と同時に行えるので患者は術後一週間程度で会話可能である。
著者
福田 宏
出版者
北里大学
雑誌
基盤研究(C)
巻号頁・発行日
2017-04-01

斉次ポテンシャル-1/r^aおよびレナード=ジョーンズ・ポテンシャル1/r^12-1/r^6で相互作用する等質量3体問題の8の字解のモースインデックスを計算した。モースインデックスとは作用の第二変分を負にする独立な変分関数の個数である。モースインデックスの計算は,変分関数を周期Tの周期関数とした場合,コレオグラフィーに限った場合,8の字コレオグラフィーに限った場合の3通り行った。それぞれのモースインデックスを順にN,Nc,Neとする。斉次ポテンシャル系については,ポテンシャルの指数aに応じて,N=4 (0≦a≦0.9966), 2(0.9966≦a≦1.3424), 0(1.3424≦a),そしてNc=Ne=0 (0≦a)であった。レナード=ジョーンズ・ポテンシャル系については,スケール不変性がないために様々な形と大きさの8の字解が存在するが,標準型8の字解とその大きさを変化させて得られるひょうたん型の解について計算をおこなった。周期Tの大きい標準型の8の字解はa=6の斉次ポテンシャル系の8の字解と同じインデックスをもち,周期を連続的に変化させていくとNは0から12,Ncは0から4,Neは0から1に単調に増加してひょうたん型の解に至ることがわかった。この計算結果は9月に応用数理学会2017年度年会で発表した。その発表でのディスカッションをヒントに,2000年にSimoの発見したコレオグラフィーではないが8の字解に非常に近い周期解,H解とモースインデックスとの関係が明らかになった。また,作用多様体のオイラー標数とモースインデックスの関係を検討し,レナード=ジョーンズ系で周期Tが小さい時では8の字コレオグラフィーの関数空間で定義される作用多様体のオイラー標数が0で保存している事を見出した。