著者
中神 智和 土岐 彰 渡井 有 大橋 祐介 田山 愛 杉山 彰英 中山 智理 鈴木 孝明
出版者
特定非営利活動法人 日本小児外科学会
雑誌
日本小児外科学会雑誌 (ISSN:0288609X)
巻号頁・発行日
vol.53, no.2, pp.252-257, 2017-04-20 (Released:2017-04-20)
参考文献数
31

【目的】多精巣症は,「同一固体に3 個以上の精巣が存在する先天奇形」と定義される稀な疾患である.われわれは多精巣症の臨床像,治療方針について検討した.【方法】対象は,昭和大学病院および関連病院3 施設において5 年間に経験した多精巣症の5 症例をもとに,後方視的に検討を行った.【結果】全例3 歳未満で,左側に存在し,停留精巣の手術を契機に診断した.1 例は片側に3 個の精巣を有し,内2 個は腹腔内に位置していた.4 例は,鼠径管内に2 個の精巣があった.いずれも温存し,精巣固定術を行った.術後,1 例は2 個の精巣すべてに発育を認めた.固定した 2 個の精巣中1 個の精巣に萎縮を認めたのは3 例あり,1 例はすべての精巣に萎縮を認めたため摘出した.【結論】余剰精巣は,腫瘍化と造精能の欠如を理由に摘出されることが多い.海外のレビュー140 例中,悪性腫瘍の合併は5.7%で,全例高位に位置していた.造精能の欠如例は26%で,多精巣の50%以上が造精能を有していた.文献的考察から,治療方針として精管との交通性がある小児例では温存し,成人例でも生検後に方針を決めるようにしたい.
著者
鈴木 孝明
出版者
公益社団法人 日本心理学会
雑誌
心理学研究 (ISSN:00215236)
巻号頁・発行日
pp.89.17319, (Released:2018-07-14)
参考文献数
18

This study investigated the processing and comprehension of thought questions typically used in the Japanese false-belief task. Word order variation in Japanese may affect processing and comprehension of thought questions, but there is no standardization for Japanese thought questions used in the false-belief task that examines children’s development of Theory of Mind. In this study, 30 adult participants were tested on five types of thought questions in an off-line judgment task and an on-line self-paced reading task. The results showed that there are indeed some differences in comprehension difficulties depending on word order for questions that express the same meaning. These results are discussed with regard to the syntactic properties of the question types and its implications for the assessment of children on the false-belief task.
著者
鈴木 孝明
出版者
徳島大学
雑誌
徳島大学国語国文學 (ISSN:09160280)
巻号頁・発行日
vol.10, pp.75-81, 1997-03-31
著者
鈴木 孝明
出版者
日本心理学会
雑誌
心理学研究 (ISSN:00215236)
巻号頁・発行日
vol.89, no.4, pp.403-408, 2018-10
著者
鈴木 孝明 寺尾 京平 鈴木 博之 新田 祐幹 高尾 英邦 下川 房男 大平 文和 平丸 大介 小寺 秀俊
出版者
一般社団法人 電気学会
雑誌
電気学会論文誌E(センサ・マイクロマシン部門誌) (ISSN:13418939)
巻号頁・発行日
vol.133, no.5, pp.139-146, 2013-05-01 (Released:2013-05-01)
参考文献数
20

In this study, we propose a simple observation method of the shape and molecular orientation of the chromosomes extracted from cells for a sample-to-analysis system in clinical diagnosis. The proposed technique is composed of total preparation technique such as cell immobilization, chromosomes extraction, stretching, suspension and analysis using a disposable microchip controlled by centrifugal force only. It is experimentally confirmed that the chip having two kinds of microstructures arranged concentrically on a chip immobilizes cells and stretches chromosomes extracted from the immobilized cells.
著者
菅原 麻衣子 鈴木 孝明
出版者
日本建築学会
雑誌
日本建築学会計画系論文集 (ISSN:13404210)
巻号頁・発行日
vol.83, no.745, pp.385-395, 2018 (Released:2018-03-30)
参考文献数
5
被引用文献数
2

Following Part 1 of the research, this paper, Part 2 continuously focuses on the educational environment of students who have profound and multiple disabilities and need daily medical care in schools for special needs education. The objective of the whole research was to identify the points needed for the development of school facilities from the perspective of medical care. The research method and the analytical data used in Part 2 are the same as those in Part 1. The nationwide questionnaires were conducted in 2015, targeting all schools (281) for special needs education with a department of physical disabilities in Japan. The responses from 160 schools (56.9%) were collected. In the questionnaires, we established the following sections and divided the problems based on their features such as priority, facilities improvement, or teachers' creativity: 1) problems solved through repair or renovation, 2) problems remaining despite repair or renovation, 3) problems that teachers cannot solve by themselves, 4) considerable problems in school planning despite teachers' capacity to manage them, and 5) problems solved through teachers' creative use of space and human resources. The data was analyzed using KH coder developed by Higuchi (2001) as text mining software. A total of 688 problems were obtained from the questionnaires. The co-occurrence networks by using the software in each section were drawn; through this method commonality of the problems could be sought. In Part 1, the problems and teachers' requirements for improving school facilities through the analysis of section 1 -4 were recognized. In Part 2, based on the analysis of section 5, the teachers' creative usage of space and human resources to solve problems were illustrated. In addition, a cross-sectional study of 1–5 was implemented. From the results, three main points to improve the educational environment were discovered. First, regarding the classroom planning from the perspective of medical care, a major problem that need to be considered was the limited amount of space for activities in classrooms, which was much more limited than expected. In classrooms, teachers had a tendency to create a corner for medical care and set up various equipment up such as humidifiers and air cleaners to prevent infections from spreading, pots that contained hot water to wash medical care products, carts to put commodities on such as suction equipment, general educational materials and self-supporting tools. Second, we identified the specific needs to improve facilities aside from classrooms, they are; medical care rooms, restrooms and the water supply. Medical care rooms are required to be located near classrooms and the infirmary and they must have adequate space for vital checks and medical care for multiple students at the same time. Restrooms tended to have a lot of problems even after being repaired or renovated, so it was important to consider the number of restrooms, the required space for care and changing of diapers, plus the ease to support those with physical disabilities. Water supply is an absolute necessity in classrooms and lunch rooms in order to wash students' hands and the medical goods. Finally, the characteristics of each need tended to be different depending on the type of medical care required. For tube fed students, lunch rooms should have adequate space so they can spend lunch with their friends. For catheterization, there needs to be an appropriate number of special booths and space, a required bed, appropriate layout to support students and sufficient lighting. For tracheotomy and the suctioning of phlegm, air conditioners, humidifiers and air cleaners are vital to prevent the spread of infections.
著者
川島 章子 漆原 直人 福本 弘二 谷 守通 鈴木 孝明 松岡 尚則 福澤 宏明 長谷川 史郎
出版者
特定非営利活動法人 日本小児外科学会
雑誌
日本小児外科学会雑誌 (ISSN:0288609X)
巻号頁・発行日
vol.43, no.6, pp.760-763, 2007-10-20 (Released:2017-01-01)
参考文献数
8

症例は10歳男児.自転車で走行中転倒した際ハンドルで右下腹部を強打し,同部に膨隆が認められたため当院を受診.右下腹部に手拳大の膨隆と圧痛を認め皮下に腸管を触知した.腹部CTにて遊離ガス像や臓器損傷はなく,右傍腹直筋部の皮下に小腸の脱出を認めた.臥位安静にて右下腹部の膨隆は消失するが腹圧にて再発するため,外傷性腹壁ヘルニアの診断にて全身麻酔下に手術を行った.右傍腹直筋切開で皮切を行うと,右腹直筋鞘外縁で腹壁が断裂しておりSpigel herniaと診断した.ヘルニア門は弓状線の高さから尾側へ約7cmの長さで存在し,腹腔内臓器の損傷はなく,腹壁の修復は各層で直接縫合し得た.術後2年経過し,再発は認めていない.小児の外傷性腹壁ヘルニアは稀で,検索し得た範囲内で自験例は外傷によるSpigel herniaの本邦報告例中最年少であった.
著者
鈴木 孝明
出版者
香川大学
雑誌
若手研究(B)
巻号頁・発行日
2009

本研究では、MEMS製造システム技術のフレキシブル化・ハイスループット化を目的として、駆動機構を有する複数の機能を集積化したマイクロシステムを単一マスクパターンからアセンブリフリーで作製する方法を開発した。本技術の特徴は、複雑に流路が入り組んだマイクロ流体システムの作製と、さらにその内部に磁気駆動素子を組み込むことをアセンブリフリーでできる点にある。作製方法として、独自の加工技術である単一マスク回転傾斜リソグラフィにより、(1)フォトレジストを塗布して流路構造を作製し、(2)さらに(1)とは逆型のフォトレジストに磁気微粒子を懸濁し、流路内に導入して同じマスクを用いて露光することによって、磁気駆動素子をマイクロ流路内に作製・同時設置する方法を提案した。