著者

千葉 優子 Yuko Chiba フェリス女学院大学 音楽学部 音楽芸術学科(教員)

出版者

フェリス女学院大学

雑誌

フェリス女学院大学音楽学部紀要 (ISSN:13410601)

巻号頁・発行日

vol.11, pp.43-69, 2011-03

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Much confusion and many theories surround the origins of the kokyu. This paper is a comprehensive study which considers a variety of sources, beginning with a rereading of the first literature on the kokyu, the Kokyu Shichikushoshinshu (1644) by Nakamura Sozan, and continuing with an examination of visual resources, the social milieu in which the kokyu functioned, how the Chinese characters for "kokyu" are used, early performers, and resources on late 16th -early 17th Christians in Japan. The result is an understanding that the modern instrument called the koyu was modeled on the Japanese shamisen, and that the technique of playing the kokyu with a bow was influenced by foreign instruments. In addition, in this paper the author points on which one must take care when using Edo period (1603-1867) narratives as modern scholarly documents. Finally, the author notes that by studying differing viewpoints throughout the years, we can learn the thoughts and values of people at various times.2009年7月4日開催日本音楽学会関東支部特別例会(東洋音楽学会東日本支部第45回定例研究会と合同)において「展望 キリシタン音楽研究の可能性」として口頭発表したもののうち、研究の実例として述べた後半の胡弓と近世邦楽史料としての説話に関する部分をもとにまとめたもの

著者

Yuko CHIBA Katsuhiko SATOH Satoshi UEDA Nobuo KANAZAWA Yoshiaki TAMURA Toshiyuki HORIUCHI

出版者

The Japan Endocrine Society

雑誌

Endocrine Journal (ISSN:09188959)

巻号頁・発行日

vol.54, no.3, pp.379-383, 2007 (Released:2007-07-19)

参考文献数

21

被引用文献数

14 26

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Psychosomatic symptoms in primary hyperparathyroidism (PHPT) are various and include such conditions as obsessive-compulsive disorder, depression, anxiety, and paranoia. In the elderly the clinical features of the disease are often non-specific and difficult to diagnose. To quantify subjective symptoms of patients with hyperparathyroidism in the elderly, we determined whether these clinical manifestations resolved after surgical parathyroidectomy (PTX) in three PHPT patients over eighty years old. They were diagnosed with hypercalcemia, hypophosphatemia, high PTH concentrations, and osteoporosis. A single parathyroid adenoma was confirmed in each patient by Tc-MIBI scintigram, neck ultrasonography and computed tomographic scanning. PTX was performed in these three patients. Assessments of psychologic symptoms, using the Hamilton Rating Scale for Depression (HAM-D), serum calcium, and intact PTH were obtained before and after PTX. Mean weight of the resected adenomas was 438 ± 138 mg (mean ± SD). After PTX, serum calcium decreased from 11.1 ± 0.5 to 9.2 ± 0.5 mg/dl and intact PTH from 160.0 ± 25.2 to 45.3 ± 22.2 pg/ml. Total HAM-D scores in each patient decreased from 45 to 9, 17 to 1 and 15 to 5, respectively. Especially, there were marked improvements in depressive mood, psychomotor inhibition, anxiety and somatic symptoms after PTX. The quality of life in those patients was also improved by PTX. We propose here that PTX in elderly PHPT patients with psychiatric symptoms should be considered instead of oral administration, such as anti-depressants or bisphosphonates.