著者
高世 秀仁 桑名 斉 岡安 大仁
出版者
NIHON UNIVERSITY MEDICAL ASSOCIATION
雑誌
日大医学雑誌 (ISSN:00290424)
巻号頁・発行日
vol.72, no.6, pp.320-325, 2013

介護療養病床における終末期高齢者に対する皮下輸液の効果を静脈輸液と比較して検討した.対象は2007 年から 2010 年に介護療養病床で終末期に輸液治療をおこない死亡退院した 92 例. 基礎疾患は脳血管疾患 48 例 (52.2%),認知症 11 例 (12.0%),悪性腫瘍 5 例 (5.4%).皮下輸液 (HDC) 群と静脈輸液 (IV) 群で終末期の輸液期間,輸液量,臨床経過を後ろ向きに検討した.HDC 群24 例,年齢の中央値 85 歳,IV 群 68 例,年齢 84 歳.HDC 群で基礎疾患に認知症が多かったが,死因は有意差を認めなかった.輸液期間は HDC 群 36.5 (5-107) 日,IV 群 34.5 (3-158) 日で有意差なく,輸液量は HDC 群 500 (250-700) ml /日,IV 群 750 (500-1200) ml /日でHDC 群が有意に少なかった.下肢,背部等の浮腫はHDC 群の 9 例 (7.5%),IV 群の 39 例 (57.4%) に認めたが有意差はなかった.両群とも穿刺部の腫脹,発赤,疼痛,感染などの有害事象はなく,IV 例 10 例で静脈確保が困難で皮下輸液に変更した.介護療養病床における終末期高齢者に対する皮下輸液は静脈輸液と同等の延命効果と安全性を認めた.
著者
大櫛 陽一 春木 康男 宗田 哲男 銅冶 英雄 糖質ゼロ食 研究会 山内 忠行
出版者
日本脂質栄養学会
雑誌
脂質栄養学 (ISSN:13434594)
巻号頁・発行日
vol.19, no.1, pp.53-58, 2010 (Released:2010-05-01)
参考文献数
19

Introduction: A control of blood glucose is known to be the most important fact to protect development of complications of diabetes. A low-carbohydrate diet has been recognized to be one of the choices of diets for patients with diabetes. But, a very low-carbohydrate diet where the uptake of carbohydrate is lower than 130g per day is not recommended by American Diabetes Association now. Methods: We examined 16 patients who are continuing in some years a very low-saccharide diet where the uptake of saccharide is lower than 5g per diet. Results: Their fasting glucose, HbA1c, triglyceride, HDL-C, creatinine, all ionic values, pH and bicarbonate of venous blood were normal. Their ketone body and free fatty acid were higher than people who have normal diet, but their respiratory quotient was 0.72 and it assures their resource of energy changes from glucose to ketone body. Conclusion: Dietary ketosis never makes acidosis. The very low-saccharide diet is a safe and most effective diet for patients with diabetes.
著者
細馬 宏通 坊農 真弓 石黒 浩 平田 オリザ
出版者
一般社団法人 人工知能学会
雑誌
人工知能学会論文誌 (ISSN:13460714)
巻号頁・発行日
vol.29, no.1, pp.60-68, 2014-01-05 (Released:2014-01-07)
参考文献数
15
被引用文献数
2

When the presence and the action of an android reach to those of human, andoroid can derive multi-modal action from human. How can human parties act with the android to organize the interaction and find the android as the social actor? We observed the development process of the play ``Three Sisters, Android Version'', and analyzed the multi-modal interaction between the android and human players in the process. As the result, the actors express the assessment of human likeness of the android with their utterances and body movements, and the border between human and machine was expressed with each modality in different way. Moreover, these expressions are not one-way product by the writer and director, but the product of repeated interactions between the actors and the android through the practice and rehearsals. Finally we discuss the possibility of ``media equation'' study using the direct observations of man-machine interaction.
著者
林 直道
出版者
島根県立大学
雑誌
北東アジア研究 (ISSN:13463810)
巻号頁・発行日
vol.6, pp.141-151, 2004-01

1) Lord Teika Fujiwara was the most famous poet during the last Heian and early Kamakura period. He was poor and low in position. But the ex-emperor Gotobain judged Teika's talent and appointed him to an official of Waka (poem) Bureau since when Teika could make a brilliant figure in the circle of court poetry. Their honeymoon, however, could not continue so long. Several times they fell out owing to the opposition of appraisal of poem. At last Teika was convicted to the house arrest on the charge of ill-omened poem making. 2) In 1221 Gotobain as the top leader of aristocracy decided to overthrow the Kamakura Shogunate and rose in coup d'Etat. But, he could gather the military forces merely 25 thousands of persons, and was defeated by the 195000 strong troop of Shogunate. Gotoba was caught and exiled to Oki Island, one of the solitary island far out on the Nippon-Kai (Sea of Japan). His third Imperial Prince ex-emperor Juntoku was exiled to Sado-Island. This war is called 'the revolt of Jokyu.' 3) By contrast with Gotobain's tragic destiny, Teika succeeded in life under the patronage of new Emperor Gohorikawa who had acceded to the throne as the puppet of Kamakura Shogunate. Teika and his sun Tameie advanced to the high position. Teika was crowned with glory to edit by himself the new anthology collected by Imperial Command. Teika would not send the only letter of sympathy and the only present of consolation to Gotobain who was obliged to send a miserable life under despair and loneliness. 4) It was natural that Gotobain and his close associates criticized Teika's attitude unfavorably as the shameless and ungrateful one. When Gotobain edited a new poetical composition matches named "Jidai-Fudo-Utaawase, " he compiled Fujiwara letaka, who showed great sincerity to him, with the excellent female poet, Mise Onono-Komachi. On the contrary, Gotobain compiled Teika, who went back on him, with the second classed poet, Prince Motoyoshi. So many historian have looked on as if Gotobain and Teika, these two prominent poets ended their life excluding each other. 5) But, this view is not correct. Gotobain in his later years edited a very extraordinary poetical composition matches named "Poetical composition matches of two Lord Teika-Ietaka, " in which Teika was written on the left side and Ietaka on the right side. Most remarkable point is the special character of Teika's poems. Among 50 poems, the inhalt of the first half about 30 poems are exclamation to the uncertain change of beautiful nature and flowering plant. And the inhalt of the second half about 20 poems are the sympathy to the tragic destiny of lifelong separated person, and the bitter sorrow. We feel as if Teika appeal to Gotobain "Every night I am crying and fall in the blues." This poetical composition matches is the message of Gotobain to Teika that "I understand your genuine feelings." 6) By what reasons Gotobain his attitude to Teika made a complete change by one hundred and eighty degrees? The reason is nothing else than the appearance of Teika's "Hyakunin-isshu (One Hundred Poems from One Hundred poets, 1235)." Upper mentioned Gotobain's Utaawase was edited during 4 years from July of 2nd year of Katei [1236] to the death year of Gotobain [1239]. Teika's Hyakunin-isshu was edited at May of the 2nd year of Bunryaku [1235]. Hyakunin-isshu is the most famous Anthology of excellent poems from one hundred poets in Man'yo, Heian and Kamakura periods. But, behind it, a wonderful elaborate device was hidden, which made a great impression on Gotobain. 7) Owing my decoding, the mystery of Hyakunin-isshu is as follows: (1) Hyakunin-isshu is a Uta-Orimono (Waka-Textile woven with words), which is composed of ten Wakas both in length and in width, and were woven each other by the warp and woof of connecting words. Each Waka has the word connection with four neighboring Wakas of right and left side and upper and lower side. Provided that, the corner Waka has two connection and edge Waka except corner has three connection. In the history of Japanese Waka, this word connection developed by way of four steps. Firstly, connection of two Wakas (Somonka of Man'yo), secondly, connection of several thousand Wakas in on horizontal line (Chokusen Waka Shu), thirdly, connection of double decker (Teika: Monogatari 200 Ban-Uta Awase), fourthly, connection of multistoreyed building type (Hyakunin-isshu). (2) If the connection words of 7 lines of right side of the Waka-Textile convert into picture, a beautiful landscape rise to the surface. Mountains rise in the surrounding part. Waterfall comes down in the central part. Big river flows in the lower part. Cherry blossoms, chrysanthemum, maple at the foot of mountain. Ditch reed on the shore of river. Various flowering plant in the field. Palace, temple, shrine, etc. This landscape corresponds to the reality of Minase country, in which the imperial villa of Gotobain was built. (3) At the four corner of Waka-Textile, there are four important persons. In Buddhism thought, the world (Mandala) is guarded by four Devos (Shitenno), who stand at the four corners of Mandala. Since this thought had been imported, Japanese intelligentia considered seriously the four corners of the thing. Well, Teika's Waka are put in the right-lower corner, in the position of Jikoku-ten. For one who comes not I yearn ; as at Matsuho, In the evening calm. The salt-weeds are burnt aglow. So parch'd am I for desire (translation by Haruo Miyata) "Matsuho" is the name of northern shore of Awaji Island. This Teika's poem expresses a pationately yearning mind for someone who comes not. Who is the someone no return? Because Teika's Waka is put in the position of Jikoku-Ten, the someone are put in the other three positions of four Devos. In the left lower corner, in the position of Zochoten-Gotobain. In the right upper corner, in the position of Tamonten-Juntokuin. These two persons are the ex-emperors, who were exiled in the prison islands and could not return to metropolis d. i. Kyoto. Furthermore, in the left upper corner, in the position of Komokuten-Shokushi Naishinno (Naishinno means the daughter of Tenno). Princess Shokushi was an excellent feminine poet and was the object of Teika's secret platonic love. She had died far previously before Hyakunin-isshu was edited. So, she could not return to this world again. 8) Hyakunin-isshu was sent to Gotobain. Perhaps the sender was not Teika, but Ietaka who was on friendly terms with Gotobain. Ietaka sent this Anthology in the form of Waka-Textile, taxing his ingenuity, under the strict censorship by the local agencies of Kamakura Shogunate. Successfully Gotobain could decode the secret of Hyakunin-isshu. Being suffered a great impression, he changed his valuation on Teika, and understood Teika's true feeling.
著者
伊藤 倫子
出版者
国立研究開発法人 科学技術振興機構
雑誌
情報管理 (ISSN:00217298)
巻号頁・発行日
vol.58, no.1, pp.28-39, 2015-04-01 (Released:2015-04-01)
参考文献数
51

米国では,9割を超える公共図書館が図書館向けにデジタルコンテンツを配信するベンダーと契約し,図書館利用者へ電子書籍を貸出している。電子書籍の利用は年々増加しており,いまや電子書籍の貸出は図書館にとって定番のサービスとなった。本稿では,さまざまに存在する電子書籍サービスから,特に主流となっているダウンロード型モデルについて取り上げ,最新の統計を中心に現状を報告する。また,サービスの普及につれて,1)プラットフォーム変更にかかわる問題,2)出版社による高価格・貸出制限の設定にかかわる問題,3)個人情報・閲覧履歴の守秘義務に関する問題などを通じて明らかとなった課題を報告する。
著者
大村 知子 山内 幸恵 平林 優子
出版者
社団法人日本家政学会
雑誌
日本家政学会誌 (ISSN:09135227)
巻号頁・発行日
vol.59, no.6, pp.393-402, 2008-06-15

人体の動作により衣服にはひきつれやだぶつきといった着くずれが生じる.本研究では,姿勢変化の過程における人体とパンツの軌跡を三次元動作解析システムにより捉え,動作により人体とパンツがずれるプロセスの解明を試みた.また,ずれの量や方向についてパンツ別,被験者別,動作別に比較を行った.主な結果は次のとおりである.(1)ずれの量は開口部で大きく,ずれは皮膚の伸展の大きい部位に向かって生じた.(2)ずれはアンクルラインやニーラインなど衣服にゆとりが多い部位で先に生じ、それからウエストラインなど衣服のゆとりが少ない部位で徐々に生じる傾向にあった.また,ずれは水平方向や横方向へ先に生じ,その後に垂直方向に生じる傾向にあった.(3)股上が浅く,ゆとりの大きいパンツは,後ウエストラインにおいて下方へのずれの量が大きかった.立位から蹲踞への動作では立位から椅座への動作よりウエストラインにおいて後方へのずれの量が大きかった.また,ずれの量や方向は被験者の着衣の仕方や好みに影響を受けた.
著者
稲葉 洋平 大久保 忠利 杉田 和俊 内山 茂久 緒方 裕光 欅田 尚樹
出版者
一般社団法人日本衛生学会
雑誌
日本衛生学雑誌 (ISSN:00215082)
巻号頁・発行日
vol.69, no.1, pp.31-38, 2014 (Released:2014-01-29)
参考文献数
25
被引用文献数
1 1

Objective: To determine constituents of fillers and mainstream smoke from Neo Cedar. Methods: Neo Cedar is a second-class over-the-counter (OTC) drug and similar to cigarettes in a number of ways. In particular, the design and usage are very similar to those of cigarettes. For the fillers of the drug, the levels of nicotine, tobacco-specific nitrosamines (TSNA), and heavy metals, and mutagenicity were determined using the methods for cigarette products. For the mainstream smoke, the levels of tar, nicotine, carbon monoxide (CO), TSNA, polycyclic aromatic hydrocarbons (PAH), and carbonyl compounds were also determined using the methods for cigarettes. The mainstream smoke from the drug were collected with a smoking machine using two smoking protocols (ISO and Health Canada Intense methods). Results: The nicotine and total TSNA levels in the fillers of the drug averaged 2.86 mg/g and 185 ng/g, respectively. The nine species of heavy metals were also detected in the fillers of the drug. The levels of nicotine, tar, CO, TSNA, PAH, and carbonyl compounds of mainstream smoke from the drug were higher when determined using the HCI regime than when using the ISO regime. The mutagenicity of the mainstream smoke determined using the HCI regime was also higher than that determined using the ISO regime. Conclusion: In this study, all constituents of Neo Cedar were determined by methods for cigarette products. The drug had a ventilation hole on its filter. Thus, its constituents are different from those determined by the smoking protocols. Neo Cedar users should be careful of higher exposure to the hazardous gases owing to smoking patterns.