著者
福島 一彰 柳澤 如樹 佐々木 秀悟 関谷 綾子 関谷 紀貴 菅沼 明彦 味澤 篤 今村 顕史
出版者
一般社団法人 日本感染症学会
雑誌
感染症学雑誌 (ISSN:03875911)
巻号頁・発行日
vol.90, no.3, pp.310-315, 2016-05-20 (Released:2017-11-17)
参考文献数
12

We present 3 cases of ocular syphilis in patients who had been newly diagnosed as having HIV. All the patients had only complained of ophthalmologic symptoms at the time of their initial visit. Treatment with penicillin was successful, resulting in no significant sequelae. Ocular syphilis may lead to reduced visual acuity or even blindness if left untreated. However, the diagnosis may be challenging, since patients may lack symptoms that are commonly observed in cases with primary and secondary syphilis. Considering the recent increase in the number of syphilis patients, clinicians should be aware of ocular syphilis and should have a high index of suspicion for syphilis in any patient at risk so as to ensure a prompt diagnosis.
著者
伊藤 英之 吉田 真理夫 長山 孝彦 脇山 勘治 原田 憲邦 南里 智之
出版者
公益社団法人 砂防学会
雑誌
砂防学会誌 (ISSN:02868385)
巻号頁・発行日
vol.65, no.1, pp.47-53, 2012-05-15 (Released:2015-08-03)
参考文献数
18
被引用文献数
3 or 0

Snowmelt-type mudflow is often observed when a pyroclastic flow, surge, blast or a hot-debris avalanche moves over a snow-covered slope. We constructed the experimental equipment to simulate snowmelt due to high-temperature rock fragments moving over a snow-covered channel. The experiments were carried out for nine different cases, changing the parameters of temperature, rock particle diameter, and snow density. On comparing the hydrographs of these nine cases, we found that the following conditions lead to rapid snowmelt and large peak flow : (1) the temperature of the pyroclastic material is sufficiently high ; (2) the snow density is remarkably high, as in the case of solid ice ; and (3) snow is saturated with liquid water, as in the case of slush. The results indicate that the volume of the snowmelt-type mudflow particularly depends on the snow density and the temperature of the pyroclastic materials.
著者
大野 彰久 眞柴 寿枝 青野 通子 丹下 和洋 越智 裕紀 武智 俊治 横田 智行 上甲 康二
出版者
一般社団法人 日本肝臓学会
雑誌
肝臓 (ISSN:04514203)
巻号頁・発行日
vol.57, no.9, pp.481-486, 2016-09-20 (Released:2016-09-30)
参考文献数
19

症例は20歳代男性.倦怠感と心窩部不快感を主訴に受診し,血液検査でT.Bilと肝胆道系酵素の上昇を認めた.肝炎ウイルスマーカーは陰性で,自己免疫性肝疾患なども否定的だった.画像検査で器質的疾患を疑う所見もなかった.漢方薬の内服歴があり,入院時より腹部に褐色調の皮疹が認められたため薬物性肝障害を考え経過観察した.肝生検組織では急性肝炎と診断し,薬物性肝障害として矛盾しない所見だった.肝胆道系酵素異常は遷延し,腹部の皮疹が上腕・大腿にも拡大した.再度詳細に問診を行うと不特定の性交渉歴があり,血液検査を追加し,早期梅毒と判明した.Amoxicilin 750 mg/dayの内服で,皮疹の改善とともに遷延していた肝胆道系酵素異常は速やかに正常化した.近年,梅毒感染者は増加傾向にあり,特に若年層での感染が目立つ.皮疹を伴う原因不明の肝障害患者では,梅毒性肝炎も念頭に入れるべきだと思われた.
著者
小川 圭一
出版者
公益社団法人 土木学会
雑誌
土木学会論文集D3(土木計画学) (ISSN:21856540)
巻号頁・発行日
vol.72, no.4, pp.288-303, 2016 (Released:2016-10-20)
参考文献数
41

本研究では,出発地・目的地間の自転車の車道横断回数を考慮して,自転車の通行方向を左側のみの一方向通行とする整備や規制をおこなった場合と,双方向通行とする整備をおこなった場合との,出発地・目的地間の交通事故遭遇確率の比較をおこなう.具体的には,格子状の道路ネットワークをもつ京都市中心部と,非格子状の道路ネットワークをもつ京都市郊外の洛西ニュータウン付近とを対象として,出発地・目的地間の交通事故遭遇確率の算定をおこない,格子状,非格子状といった道路ネットワーク形状に関する特性と,自転車の通行位置と通行方向による交通事故遭遇確率との関係について比較をおこなう.

141 141 141 62 OA 草津白根火山の噴火史

著者
早川 由紀夫 由井 将雄
出版者
Japan Association for Quaternary Research
雑誌
第四紀研究 (ISSN:04182642)
巻号頁・発行日
vol.28, no.1, pp.1-17, 1989-05-31 (Released:2009-08-21)
参考文献数
23
被引用文献数
22 or 0

The eruptive history of the Kusatsu Shirane volcano is well described by means of 14 beds of key tephra and intercalating loess soil. Three eruptive stages are recognized. During early or middle Pleistocene the Matsuozawa volcano was formed; this is the first stage. The second stage was initiated by effusion of the Horaguchi lava, which was followed by eruptions of the Oshi pyroclastic flow, older lava flows, 3P pumice fall, and Yazawahara pyroclastic flow. Brown loess soil about 10m thick covering these deposits indicates that a dormant period of more than 100, 000 years followed this stage. The summit area upheaved about 400m or more against the foot of the volcano during this period, as is suggested by the extraordinarily steep (6.1°-3.0°) surface of the Oshi ignimbrite plateau. The third stage, which started about 14, 000 years ago, is the formation of three pyroclastic cones on the summit and contemporaneous effusion of the younger lava flows, e. g. the Kagusa lava of 7, 000 years ago and the Sessyo lava of 3, 000 years ago. In historic times, phreatic explosions have frequently occurred on the summit crater, Yugama. This means that the present belongs to the third stage. It is unlikely that eruptions of the third stage are caused by cooling of the magma chamber which was active in the second stage. The activity of the third stage seems to denote arrival of a new magma chamber at shallow depth.
著者
岸本 桂子 羽坂 亜希子 山浦 克典 福島 紀子
出版者
公益社団法人 日本薬学会
雑誌
YAKUGAKU ZASSHI (ISSN:00316903)
巻号頁・発行日
vol.136, no.10, pp.1401-1413, 2016 (Released:2016-10-01)
参考文献数
40

Pharmacy is required to shift toward human service such as hearing the complaints of health. But the study about help-seeking behavior to pharmacist is not really investigated. We hypothesized that a decrease in expression visibility, due to pharmacists' typical masks, may negatively impact help-seeker' trust in pharmacist. The sample included 100 drugstore customers aged ≥18 years. Participants were stratified by gender and randomly assigned to two groups: evaluation of clear-masked and normal-masked pharmacists. After viewing a video with either male or female pharmacists wearing either clear or normal masks, participants completed a questionnaire. The primary outcome was trust in pharmacist measured by the Trust Scale and the secondary outcome was impression of the pharmacist measured by nineteen pairs of adjectives. There were no differences by gender on trust scores. Results revealed that both male and female pharmacists who wore clear masks were rated as more trustworthy than normal-masked pharmacists (p<0.001, d=0.903, and p=0.001, d=0.716, respectively). Sixteen of nineteen adjectives reported for pharmacists wearing normal masks indicated greater negative intention than those with clear masks (d=0.431-1.469). In most cases, among pharmacists wearing clear masks, results showed positive correlations between trust and each impression adjective (r=0.279-0.710). Our findings indicate that pharmacists wearing normal masks, which partially hide facial expressions, may decrease customer's trust in pharmacist. Further, normal masks were associated with negative impression. To avoid the inhibition of help-seek behavior, we recommend that pharmacists wear a clear mask and increase non-verbal communication.
著者
田中 佐千子
巻号頁・発行日
no.47, (Released:2013-06-05)
著者
浅川 彰三 平賀 譲 湊 一磨
出版者
造船協會
雑誌
造船協會會報
巻号頁・発行日
no.63, pp.215-223, 1939

"Ryofu Maru" is the first observation ship of occan in Japan ; which was built by Harima Dock Yard Co. Ltd. That was equipped with two Shinko Sulzers of Kobe Iron Works and with all instruments of Observatory and Oceano-graphic.
著者
池田 勇太
出版者
公益財団法人 史学会
雑誌
史学雑誌 (ISSN:00182478)
巻号頁・発行日
vol.115, no.6, pp.1041-1078, 2006

The present article attempts to clarify the birth of monarchical constitutionalism on the occasion of a debate over a popularly elected parliament in 1874, by focusing on Motoda Nagazane (or Eifu) 元田永孚, who was Emperor Meiji's tutor in Confucianism. The introduction of a constitutional polity in the absence of a government not only displayed the strong character of a modernization measure and was thought to realize a political society supported by the masses and open public opinion, but also a parliament, constitution and separation of the legislative and administrative branches of government were expected to solve real problems that existed in local administration and politics at the time. The article begins with an examination of the actions taken by the Governor of Fukushima Prefecture Yasuba Yasukazu 安場保和 in order to clarify the era's parliamentary movement against the background of local administration and to argue that the fair and just nature (ko 公) of a constitutional polity was thought to be identical to traditional Confucian political ideals. Secondly, the introduction of a constitutional polity at that point in time was not the result of power politics fought along vertical, class lines, but was rather a specific political expression of what the Restoration bureaucracy thought desirable. On the other hand, the introduction of such a polity under well-meaning auspices from above also meant that the bureaucracy did not always seek broad pluralistic opinions on the subject, but rather tended to make policy decisions in a more theoretical manner. The 1874 debate over a popularly elected parliament brought the issue of mass popular political participation to the forefront in terms of "joint rule by king and citizen." It was here that Motoda Eifu suggested that in a monarchical state it was necessary to make a distinction between "public opinion" and "the just argument," arguing that it was the monarch who should employ the latter. Any parliamentary system in which the monarch enjoys ultimate prerogative, moreover, demands that the monarch have the ability to exercise that prerogative properly, which necessitated the development of a system of imperial advisors and educators. At that time there was also the idea that the position of senior political advisor (genro 元老) should be created outside of the cabinet to perform such a function. Motoda, on the other hand, reformed such an idea based on the necessity of a monarch performing his duties with the final say within a constitutional polity. This is why it can be said that both monarchical constitutionalism and the establishment of the emperor's prerogative within it was born out of the 1874 debate over a popularly elected parliament.
著者
Kazuya Nagasawa Masato Nitta
出版者
Carcinological Society of Japan
雑誌
Crustacean Research (ISSN:02873478)
巻号頁・発行日
vol.47, pp.5-8, 2018 (Released:2018-01-13)
参考文献数
15

Over more than one century since 1894, cymothoid isopods attached by the diclidophorid monogenean Choricotyle elongata (Goto, 1894) in the mouth cavity of Japanese sparids have not been exactly identified. This note reports that those isopods are identifiable as Ceratothoa verrucosa (Schioedte & Meinert, 1883) based on material of the species attached by Ch. elongata in the mouth cavity of a red seabream, Pagrus major (Temminck & Schlegel, 1843), from the Seto Inland Sea.
著者
上里 隆史
出版者
公益財団法人 史学会
雑誌
史学雑誌 (ISSN:00182478)
巻号頁・発行日
vol.114, no.7, pp.1179-1211, 2005-07-20 (Released:2017-12-01)

This article investigates the migration of Japanese in the China Sea region, especially in and around Naha, the capital of the Kingdom of Ryukyu, between the 16th and 17th centuries. Previous research on the Japan-Ryukyu relations during medieval times has chiefly focused on the diplomatic relations between the Muromachi government, the Shimazu family of Satsuma, and the Ryukyus. It goes without saying, however, that the focus on state trade alone does not fully explain the historical relations between the two states. It is also necessary for us to consider such private aspects of trade as the activities of people who participated as well as recent findings on medieval maritime trade for a proper understanding of the relationship between medieval Japan and the Ryukyus. The migration of people from Japan to the Ryukyu Islands dates back to the 15th century. The "Ryukyu Kokuzu 琉球国図", a map of the Kingdom in those days depicts Japanese and Ryukyuans living together in Naha. According to the genealogical data on the Ryukyus, Japanese who had emigrated there during the 16th and 17th centuries through the transportation mode which had evolved at that time, can be divided into three groups, based on their places of origin: Kinai, Hokuriku, Kyushu groups. Those people were probably maritime merchants who commuted between the Ryukyus and Japan, but resided permanently in the Ryukyus and engaged in certain occupations, such as the administration of Naha, foreign affairs, medicine, and the tea ceremony. As for the structure of the port city of Naha, Naha-Yomachi 那覇四町, literally, the four townships of Naha, had developed on the fringe of the Chinese settlement of Kumemura 久米村, which was the core of Naha. The fact that Japanese institutions, such as a Shinto shrine, were located on the periphery of Naha-Yomachi shows that, like the goddess Mazu 媽祖 for the Chinese people, Naha was one of the overseas territories of Japanese merchants. Japanese immigrants resided together with Ryukyuans in Naha-Yomachi. During the 16th century, wajin (倭人), or armed Japanese merchants would throng into Naha in quest of the Chinese goods when ever Chinese envoys visited the Ryukyus. The Ryukyu royal government tried to restrict armaments, but failed. Japanese trading facilities called Nihon Kan 日本館 were set up in Naha. During the latter half of the 16th century, Kumemura, the center of Naha and the Chinese settlement, declined, while Naha-Yomachi prospered. During this period, the trade route between Japan and Fujian via Manila was established based on the active circulation of Japanese and new continental silver and Chinese raw silk. The Ryukyus functioned in it as an entrepot between Japan and Manila. It has been thought that the route from the Ryukyus to Southeast Asia was completely abolished in 1570, however, this is not true, for the Ryukyus changed its form of trade from state-sponsored trade to private trade carried out by wajin maritime merchants. The Ryukyus thus become a node connecting East to Southeast Asia.
著者
国文学研究資料館史料館

口絵凡例三井文庫旧蔵資料<袋綴本>目録解題三井文庫旧蔵資料<袋綴本>目録
著者
井上 雅 横山 光彦 石井 亜矢乃 渡辺 豊彦 大和 豊子 公文 裕巳
出版者
一般社団法人 日本東洋医学会
雑誌
日本東洋医学雑誌 (ISSN:02874857)
巻号頁・発行日
vol.62, no.3, pp.359-362, 2011 (Released:2011-09-15)
参考文献数
11

尿管結石の疝痛発作に対して芍薬甘草湯を投与し,その臨床的有用性を非ステロイド性消炎鎮痛剤(NSAIDs)と比較検討した。対象は尿管結石患者25名で,11名に対し芍薬甘草湯5.0gを内服させ,コントロール群として,14名にNSAIDsを内服させた。内服時,内服後15分,30分,60分にNRS(numerical rating scale)を用いて比較検討した。NRSは0点を全く痛みなし,10点を最も強い痛みとした。結果は芍薬甘草湯内服群では内服時NRSは6.7 ± 2.3点で,内服後15分で3.4 ± 3.5点と有意に軽減した。NSAIDs内服群では内服時8.3 ± 1.8点で,内服後15分では7.0 ± 1.9点と有意な鎮痛効果は認めたが,鎮痛効果は芍薬甘草湯の方が有意に優れていた。その他の時点においても同様の結果で,芍薬甘草湯は尿管結石の疝痛発作に対して即効性があり,NSAIDsよりも有意に鎮痛効果を認めた。