11 0 0 0 OA 全国労災病院46,000例からみた脳卒中発症の季節性(2002-2008年)
- 著者
- 豊田 章宏
- 出版者
- 一般社団法人 日本脳卒中学会
- 雑誌
- 脳卒中 (ISSN:09120726)
- 巻号頁・発行日
- vol.33, no.2, pp.226-235, 2011-03-25 (Released:2011-04-02)
- 参考文献数
- 20
- 被引用文献数
- 2 4
【背景】脳卒中発症には気温が最も影響する.発症時期については冬に多く夏に少ないとされるが一定しておらず,その理由として気象の影響の複雑さに加えて,観察期間の短さや対象数の少なさなど研究方法自体も指摘されている.【方法】全国労災病院において2002年度から2008年度に入院加療された全脳卒中症例46,031例を対象とし,脳卒中病型別に月別発症数を比較した.また気象区分から4つの地域に分けて検討した.【結果】脳出血は男女とも夏少なく冬に多発したが,北日本と西日本では最少月にひと月の差があった.くも膜下出血は女性に多く,夏少なく秋から冬に多発した.脳梗塞全体では明確な季節性は認めなかったが,ラクナおよびアテローム血栓性梗塞では夏に急増し1月に再増加という2峰性がみられ,心原性脳塞栓では冬場のみ多発した.【結論】地球環境の変化に伴い,生活環境や職場環境にも十分配慮した脳卒中予防対策が必要となる.
2 0 0 0 OA 運動時におこる腹痛に関する実験的研究
- 著者
- 今野 道勝 豊田 章
- 出版者
- The Japanese Society of Physical Fitness and Sports Medicine
- 雑誌
- 体力科学 (ISSN:0039906X)
- 巻号頁・発行日
- vol.20, no.4, pp.173-180, 1971-12-01 (Released:2010-09-30)
- 参考文献数
- 10
I. Aim and MethodThe cause of the stabbing pain in the side during exercise is not definitely known for the physiologist cannot be sure its appearance when he is prepared to study it. Therefore, in order to reveal the cause of this abdominal pain, the authors carried out first an investigation, then, on the basis of the result of the investigation, made attempt to induce the pain in the two series of experiments without any drug, balloon and so on.In the investigation, the questionnares were distributed to the 200 young male athletes to know about their experience of the abdominal pain during exercise and about the relations between the pain and weather, physical condition, kind of exercise and eating-exercise time interval.In the first series of experiments, eight healthy male students have not the history of an alimentary disorder were selected as the subject. Each subject came to the laboratory after fasting for eight and over hours, then they were loaded one of the two intensities of running on a treadmill in accordance with the procedure as showed in Tab. 1.In the second series of experiments, six of the eight subjects of the first series of experiments were selected as the subject for they complained the pain during running which carried out immediately after drinking or eating. Each subject was loaded walking on a treadmill and cycling on a bicycle ergometer in accordance with the procedure as showed in Tab.2. And this cycling requires about the same oxygen cost as the running at 240meters per minute.The test meal was consisted of baked egg (200g), fish ham (50g), raw cabbage (50g) and boild rice, and before the drinking or eating, each subject was advised to take water or boild rice as much as possible.When the subject complained the pain during exercise, the exercise was stopped about one minute later.II. Result and Conclusion.The pain was found 24 cases during running and only one case during cycling. In 72% of these 25 cases, a great deal of abdominal gas and excreta was found, and in 42% of 31 cases which were not found the pain, a great deal of abdominal gas and excreta was also found. Most of regions of the pain were middle and lower abdomen (80%), and specially in the experiments carried out relatively short time after eating, most of regions of the pain were left side abdomen (86%) .As for the time interval between the eating and exercise, the shorter the time interval, the higher rate of the pain was found.In every case, the pain stopped within seven minutes after exercise and any effect on the body was not found.From the result described above, it may conclude that the staple causes of the abdominal pain during exercise are (1) the abdominal gas or excreta is concentrated locally in the stomach or intestin by the movement of the body during exercise and distends the diaphragm or intestin, and (2) the stomach or intestin which is enlarged by the substances is rocked and tossed by the movement of the body during exercise and stimulates physically or chemically (local anaemia) to the mesentery or interior organs and so on.
2 0 0 0 頸動脈分岐部の放射線学的検討-邦人とハンガリー人の比較-
1 0 0 0 脳卒中後の治療と職業生活の両立支援
- 著者
- 豊田 章宏
- 出版者
- 一般社団法人 日本脳卒中学会
- 雑誌
- 脳卒中 (ISSN:09120726)
- 巻号頁・発行日
- vol.42, no.1, pp.37-42, 2020
- 被引用文献数
- 2
<p><b>要旨</b>:わが国における脳卒中罹患労働者の復職率は30~50%であり,予測される機能回復に見合った数字には至っていない.就労支援を成功させる因子として,適切なアセスメントと患者自身の病状理解,復職を念頭に置いたリハビリテーションの実施,医療者の仕事に対する理解,職場との情報共有などが重要と考えられている.労働者健康安全機構では,平成26 年度から,患者に寄り添いながら適切な時期に必要な評価や情報提供を行う両立支援コーディネーターの養成を開始した.介入に同意した脳卒中罹患労働者に対して発症早期からの介入を行った結果,70%近い復職率が得られている.両立支援には職場側の理解や適切な配慮が必要であるが,罹患後の早期離職を防ぐためには,脳卒中診療に関与する医療者が急性期から関わることも重要である.</p>
1 0 0 0 OA スポーツ適性に関する研究 : 足跡について
- 著者
- 豊田 章一郎
- 出版者
- 日経BP社
- 雑誌
- 日経ビジネス (ISSN:00290491)
- 巻号頁・発行日
- no.1036, pp.45-46, 2000-04-10
問 経団連会長も務められた章一郎さんには、まず日本のモノ作りという大きいテーマからお聞きしたいと思います。競争力の核になるべきモノ作りがこの10年でかなり傷んだ。モノ作りの危機ではないかと。