著者
大倉 高志 Takashi Okura
出版者
同志社大学社会学会
雑誌
評論・社会科学 = Hyoron Shakaikagaku (Social Science Review) (ISSN:02862840)
巻号頁・発行日
no.99, pp.97-135, 2012-03-15

本稿の目的は,警察,死体検案医,解剖担当者による自死遺族支援の可能性を検討することである.検討の結果,警察が自殺を装った殺人を疑うことが自死遺族を大きく傷つけていること,検案費用や解剖費用,検案書発行手数料の請求に明確な規定がないこと,検案医や解剖担当者が実施内容や結果について遺族への説明責任を果たしていないことなどが自死遺族の死別後の苦しみをさらに増大させている恐れがあることが分かった.警察は犯罪被害者支援の経験を活かし現場での支援実施責任者として自死遺族に特化した明確な支援を提供できること,検案医と解剖担当者は機転を利かせ積極的に警察と相談の上,遺族に結果を紳士的に説明し自死遺族に特化した支援を提供するなど,欠くことのできない重要な役回りを果たすことができることを指摘した.
著者
Keitaro Senoo Tomonori Miki Takashi Okura Hirokazu Shiraishi Takeshi Shirayama Keiji Inoue Tomohiko Sakatani Ken Kakita Tetsuhisa Hattori Kentaro Nakai Takanori Ikeda Satoaki Matoba
出版者
The Japanese Circulation Society
雑誌
Circulation Reports (ISSN:24340790)
巻号頁・発行日
vol.2, no.7, pp.345-350, 2020-07-10 (Released:2020-07-10)
参考文献数
21
被引用文献数
4

Background:Hypertension in patients with atrial fibrillation (AF) is a known independent risk factor for stroke. The Complete blood pressure (BP) monitor (Omron Healthcare, Kyoto, Japan) was developed as the first BP monitor with electrocardiogram (ECG) capability in a single device to simultaneously monitor ECG and BP readings. This study investigated whether the Complete can accurately differentiate sinus rhythm (SR) from AF during BP measurement.Methods and Results:Fifty-six consecutive patients with persistent AF admitted for catheter ablation were enrolled in the study (mean age 65.8 years; 83.9% male). In all patients, 12-lead ECGs and simultaneous Complete recordings were acquired before and after ablation. The Complete interpretations were compared with physician-reviewed ECGs, whereas Complete recordings were reviewed by cardiologists in a blinded manner and compared with ECG interpretations. Sensitivity, specificity, and κ coefficient were also determined. In all, 164 Complete and ECG recordings were simultaneously acquired from the 56 patients. After excluding unclassified recordings, the Complete automated algorithm performed well, with 100% sensitivity, 86% specificity, and a κ coefficient of 0.87 compared with physician-interpreted ECGs. Physician-interpreted Complete recordings performed well, with 99% sensitivity, 85% specificity, and a κ coefficient of 0.85 compared with physician-interpreted ECGs.Conclusions:The Complete, which combines BP and ECG monitoring, can accurately differentiate SR from AF during BP measurement.