出版者
愛媛県人権啓発センター
巻号頁・発行日
2007
著者
井澤 美苗 信野 明美 西村 友宏 登美 斉俊 中島 恵美
出版者
日本香粧品学会
雑誌
日本香粧品学会誌 (ISSN:18802532)
巻号頁・発行日
vol.37, no.3, pp.197-200, 2013-09-30 (Released:2014-10-29)
参考文献数
9

Recent clinical research utilizing noninvasive functional measurement techniques has indicated that placebo effects might be therapeutically useful, because clear responses to placebo administration have been observed in patients' brains. Both physiological and mental states are affected by placebo and a role of brain receptor(s) was suggested. Factors influencing the placebo effect are the Pavlov reaction, expectation, cognition, and conditioning. Further, the nocebo effect is a negative reaction caused by anxiety, which acts as a confounding factor. Different outcomes may be obtained depending upon whether the placebo effect is evaluated in terms of objective or subjective responses. Correlation analyses of outcomes from various clinical trials indicate that placebo improves subjective response more effectively than objective parameters. Psychosocial care of patients is an important aspect of welfare, and a better understanding of the mechanism of the placebo effect will be helpful in this regard. Cognitive therapy is well known to be as efficacious as antidepressant medication for treating depression. Therefore, we studied the relationship between activity in the cerebral prefrontal area and counseling intervention. Aromatherapy is known to be effective to improve mood. We thus evaluated the influence of counseling on the efficacy of aromatherapy in healthy young women. Participants in a room filled with the fragrance of bergamot completed both a self-reported questionnaire (motivation, feeling of drowsiness and general fatigue) and multi-dimensional fatigue inventory-20 (MFI-20). Further, as an objective measure of changes in stress, blood flow in the inferior frontal cortex was evaluated by near-infrared spectroscopy (NIRS). MFI-20 showed that the combination of aromatherapy with counseling significantly improved both brain activity and motivation, as compared to aromatherapy alone, though the self-reported questionnaire showed no significant difference. Regional blood flow in the inferior frontal cortex was significantly decreased by exposure to aromatherapy with counseling, compared to aromatherapy alone (p<0.05). The value of the NIRS-derived laterality index (LI), which is considered to be a measure of stress, was decreased by aromatherapy with counseling. Thus, we confirmed that the combination of aromatherapy with counseling intervention significantly improved mood and stress. Our results also demonstrated that counseling intervention increased the effectiveness of aromatherapy.
著者
Kosuke Kiyohara Tomohiko Sakai Chika Nishiyama Tatsuya Nishiuchi Yasuyuki Hayashi Taku Iwami Tetsuhisa Kitamura
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
pp.JE20160179, (Released:2017-10-28)
参考文献数
25

Background: Japanese rice cake (“mochi”) is a major cause of food-choking accidents in Japan. However, the epidemiology of out-of-hospital cardiac arrests (OHCAs) due to suffocation caused by rice cakes is poorly understood.Methods: OHCA data from 2005 to 2012 were obtained from the population-based OHCA registry in Osaka Prefecture. Patients aged ≥20 years who experienced OHCA caused by suffocation that occurred before the arrival of emergency-medical-service (EMS) personnel were included. Patient characteristics, prehospital interventions, and outcomes were compared based on the cause of suffocation (rice cake and non-rice-cake). The primary outcome was 1-month survival after OHCA.Results: In total, 46 911 adult OHCAs were observed during the study period. Of the OHCAs, 7.0% (3,294/46,911) were due to suffocation, with choking due to rice cake as the cause in 9.5% of cases (314/3,294), and of these, 24.5% (77/314) occurred during the first 3 days of the New Year. In crude analysis, 1-month survival was 17.2% (54/314) in those with suffocation caused by rice cake and 13.4% (400/2,980) in those with suffocation due to other causes. In the multivariable analysis for all-cause suffocation, younger age, arrest witnessed by bystanders, and earlier EMS response time were significantly related to better 1-month survival.Conclusion: Approximately 10% of OHCAs due to suffocation were caused by rice-cake choking, and 25% of these occurred during the first 3 days of the New Year. Further efforts for establishing preventive measures as well as improving the early recognition of choking and encouraging bystanders to call EMS sooner are needed.
著者
青井 典明
出版者
日本口腔・咽頭科学会
雑誌
口腔・咽頭科 (ISSN:09175105)
巻号頁・発行日
vol.26, no.1, pp.1-6, 2013 (Released:2013-05-15)
参考文献数
21
被引用文献数
4

扁桃周囲膿瘍は, 日常診療でしばしば経験される疾患であり, 抗菌薬の投与とともに穿刺あるいは切開排膿, 膿瘍扁摘等を行えば比較的容易に治癒する予後良好な疾患である. 一方で適切な治療を行わなければ, 気道狭窄をきたす恐れもあり, また深頸部膿瘍, 更には降下性壊死性縦隔炎や縦隔膿瘍に進展し, 命に影響を及ぼす疾患であり, 迅速かつ的確な診断と治療を必要とする. 扁桃周囲膿瘍の治療については膿瘍扁摘と比較し, 比較的安全に行うことができる手技として穿刺排膿と切開排膿がある. しかしながら穿刺排膿あるいは穿刺排膿ができなくとも, 抗菌薬およびステロイド等による保存的加療のみで改善する症例もあれば, 増悪して深頸部膿瘍に至る症例もある. 本稿では扁桃周囲膿瘍に対する穿刺排膿あるいは切開排膿のそれぞれの特徴, その限界について文献的考察を含め検討したい.
出版者
[書写者不明]
巻号頁・発行日
vol.[2], 1800
著者
湯淺 朋久 阿部 豊 平野 覚
出版者
一般社団法人 日本機械学会
雑誌
日本機械学会論文集 (ISSN:21879761)
巻号頁・発行日
vol.83, no.856, pp.17-00309-17-00309, 2017 (Released:2017-12-25)
参考文献数
17

Toward the improvement of performance of the electric vehicle (EV), the design of the motor shape appropriate to heat removal is important. A typical EV motor is composed of a pair of coaxial cylinders with a fixed outer cylinder (stator) and a rotating inner cylinder (rotor). Some EV motors have axial slits on the stator wall. The present study numerically clarifies the physical mechanism of difference of Nusselt number between the case with slit and without slit. The heat transfer of the gap between the rotor and stator was obtained by the numerical calculation. A vortex structure observed by flow visualization experiment was reproduced in the numerical simulation, and velocity profiles showed good agreement with experimental data. The heat transfer rate for the case with slit in the high rotational speed was increased compared with that for the case without slit. Nusselt number was decomposed into the three terms which were the advection, turbulent transport and diffusion terms; the advection term of heat flux for the case with slit was increased compared with that for the case without slit because of the vortex structure. The Nusselt number on the slit surface was increased compared with that on the gap surface for the case with slit. It was implied that the difference of Nusselt number between the case with slit and without slit was caused by the presence of the vortex structure in the slit and the increase of heat flux for the case with slit.

13 0 0 0 OA 近畿游覧誌稿

著者
黒川道祐 著
出版者
淳風房
巻号頁・発行日
1910

1 0 0 0 OA 諸子彙函26卷

著者
明歸有光輯
巻号頁・発行日
vol.[3], 1000
著者
青木 博史
出版者
日本語学会
雑誌
日本語の研究 (ISSN:13495119)
巻号頁・発行日
vol.5, no.2, pp.1-15, 2009-04

動詞の重複形には,終止形重複と連用形重複がある。本稿では,「語」レベルにとどまらず,「句」レベルを含む「構文」として,歴史的観点から分析を行う。終止形重複は,古くは通常の終止形述語同様,文終止に用いられたが,動詞としての述語性を失う形で副詞化した。連用形重複は,従属節専用の形式であるが,述語性を獲得するために「重複+スル」の形を生み出し,「複合動詞重複+スル」「重複句+スル」の形で現在も用いられている。重複構文は,古今を通じて「結果継続」を表すことはない。変化動詞の重複形においても,「重複+スル」等の形で動的な事態の繰り返しを表す。「踏み踏みする」のような「単純動詞重複+スル」が用いられなくなるのは,「踏み踏み」が「語」と認識され,「重複語+スル」の形が拒否されるようになったためと考えられる。
著者
鈴木 信孝
出版者
公益社団法人 日本薬理学会
雑誌
日本薬理学雑誌 (ISSN:00155691)
巻号頁・発行日
vol.131, no.4, pp.252-257, 2008 (Released:2008-04-14)
参考文献数
9
被引用文献数
4 4

欧米の先進諸国において,補完代替医療(CAM)の利用頻度は近年急速な増加傾向にある.また,わが国でも,患者自身の治療選択における自己決定意識の高まりに加え,インターネットの普及などから,実際の医療現場でもCAMの利用者が急速に増加していることが指摘されている.このような背景のもとに,2001年に厚生労働省がん研究助成金による研究班が組織され,わが国におけるがんの補完代替医療の利用実態調査が全国規模で行われた.そして,がん患者の44.6%(1382/3100名)が,1種類以上の代替療法を利用していることが明らかになった.さらに,利用されているCAMの種類としては,健康食品・サプリメント(漢方・ビタミンを含む)が96.2%と群を抜いて多いことや,使用頻度の高いものとしてアガリクス(60.6%),プロポリス(28.8%),AHCC(7.4%),漢方薬:OTC(7.1%)などがあることもわかった.また,半分以上の患者が,十分な情報を得ずにCAMを利用していることや,患者と医師の間にCAMの利用に関して十分なコミュニケーションがとれていないことも判明した.たしかに,サプリメントが薬理学的に高い効果を示すかどうかは懐疑的である.しかし,患者側の立場としては,たとえわずかであっても効果が認められるものがあれば取り入れたいと思うのは当然であろう.今後,氾濫するサプリメントの情報の中で,科学的に的確なものを見極め,総合的な医療としてサプリメントなども利用した健康管理も必要となろう.本稿では,まずCAMを概説し,わが国における食品の分類,サプリメントの安全性や米国で進む植物性医薬品(Botanical Drug)の研究・開発についても解説する.