著者
木寺 元 稲垣 浩 小林 悠太 前田 貴洋 林 嶺那
出版者
明治大学
雑誌
基盤研究(C)
巻号頁・発行日
2023-04-01

本研究の目的は、学歴やジェンダーが個人の職務経験(専門性)に及ぼす影響を解明することを通じて、ジェネラリスト型公務員像を再検討することにある。学術的独自性としては、30年間を超える長期間のデータセットを利用し、日本型雇用の転換期における公務員人事の変容を解明する点が挙げられる。長期間データによる人事分析は、民間部門にはトヨタを対象とする辻(2011)が存在するが、公共部門に関しては行われていない。画期的な大規模データセットを用いることで、大学進学率の向上や女性の社会進出などの日本社会の変動が、公共部門に与えたインパクトを分析可能となる。
著者
野地 雅人 稲垣 浩 遠藤 聡 常松 尚志
出版者
日本脊髄外科学会
雑誌
脊髄外科 (ISSN:09146024)
巻号頁・発行日
vol.31, no.1, pp.80-86, 2017 (Released:2017-07-08)
参考文献数
25
被引用文献数
1

Cervical angina is a pathological condition characterized by angina-like paroxysmal precordial pain caused by a lesion in the proximity of the cervical spine without cardiovascular abnormality. The symptom cannot be alleviated even with nitroglycerin administration. Although various reports have suggested possible causes, no report has identified the definite etiology of the disease. We report a rare case with frequent chest pain attacks, which completely disappeared after anterior cervical decompression and fusion and cervical calcified disc herniation. In addition, we compared the present case with previously reported cases.  The patient was a 78-year-old woman who complained of pain in the left chest and back area. Her symptoms worsened in August 2007. She was then hospitalized after undergoing medical examination in the emergency department, with the following results: ST segment depression (+), horizontal down-sloping V4-V6 on electrocardiography, and troponin (−). On the basis of these results, she was diagnosed as having unstable angina. Later, we conducted a cardiac catheter test and found 99-100% stenosis for #6 and 99% stenosis for #13 periphery. Percutaneous coronary intervention (PCI) for #6 was performed with a favorable collateral circulation. The patient did not have any symptoms during treadmill exercise and was discharged from the hospital. Although she repeatedly visited the emergency department every 2 or 3 months because of the pain in her left chest and back area, ischemia findings at the time of electrocardiography and blood test results were always negative. In March 2012, the symptom persisted even with PCI for #13. In June 2014, an acetylcholine prorocation test was conducted for suspected vasospastic angina, but the result was negative. As the patient occasionally had numbness and pain in both upper extremities, which worsened, she underwent a medical examination in our clinic in February 2015. Midline calcified hernia at C3/C4 and spur at C4/C5 were found on magnetic resonance imaging and computed tomographic myelography. Anterior decompression and fusion (C3/C4 and C4/C5) were conducted with a cylindrical cage in June 2015, and the postsurgical pain in the chest and back area completely resolved. A philological study showed that the affected segment often indicated symptoms associated with radiculopathy at the C6 or C7 myotome areas, but our case was considered a spinal segment disorder or sympathetic involvement.