出版者

一般社団法人 日本物理学会

雑誌

日本物理学会講演概要集 57.1.3 (ISSN:21890803)

巻号頁・発行日

pp.App2, 2002-03-01 (Released:2018-03-04)

著者

Jaebeom SO Jiwon CHUNG Miseong JE Kyuyong KANG Jihye CHOI Junghee YOON

出版者

JAPANESE SOCIETY OF VETERINARY SCIENCE

雑誌

Journal of Veterinary Medical Science (ISSN:09167250)

巻号頁・発行日

pp.23-0078, (Released:2023-11-24)

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The vertebral heart scale (VHS) is the most common method used for the objective evaluation of heart size, however, VHS cannot evaluate the entire heart area. This retrospective study aimed to evaluate the development and feasibility of vertebral heart area ratio (VHAR = heart area/the fourth thoracic vertebra [T4] body area) as a new cardiac measurement method. A total of 125 dogs considered without clinical heart abnormalities in the pre-anesthetic examination, measurements of the VHS and VHAR using thoracic radiography were compared with computed tomography measurements of the vertebral cardiac volume ratio (VCVR = cardiac volume/T4 body volume) and investigate whether the VHAR values differed between observers. The mean cardiac and T4 body volumes were 116.99 ± 108.07 cm3 and 0.92 ± 0.91 cm3, respectively. The mean values of observers 1 and 2 were 9.9 ± 0.7 v (VHS), 42.64 ± 27.94 cm2 (heart area), and 1.37 ± 0.96 cm2 (T4 body area). Intraclass coefficients were the highest for the heart area, followed by the T4 body area and VHS. The VHAR showed a moderate correlation with VHS in observers 1 (r=0.671) and 2 (r=0.633). The VCVR showed a more positive correlation with VHAR (r=0.573) than with VHS (r=0.426). These results indicated that VHAR could be used as a complement to VHS for heart size measurement, and the high degree of observer agreement for the measurements indicated the measurement reproducibility of VHAR.

著者

Yen Thi Hoang NGUYEN Lan Anh Thi NGUYEN Hieu VAN DONG Hieu Duc DUONG Ayako YOSHIDA

出版者

JAPANESE SOCIETY OF VETERINARY SCIENCE

雑誌

Journal of Veterinary Medical Science (ISSN:09167250)

巻号頁・発行日

pp.23-0236, (Released:2023-11-28)

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Cats normally play a role of the definitive host in which the plerocercoid (sparganum), the second larval form of Spirometra spp., develops into an adult in the intestines. However, some cases of cats with visceral or subcutaneous sparganosis were sporadically reported worldwide. We herein documented the discovery of a sparganum in abdominal cavity of a domestic cat during a surgery of dystocia. The larva was molecularly identified as Spirometra mansoni, belonging to Type I, that was recently misidentified to be S. erinaceieuropaei in several Asian countries. This is the first report for sparganum of S. mansoni in the cat. The future study is necessary to provide further insights into the species of Spirometra causing sparganosis and spirometrosis in humans and other animals.

著者

谷川 緑野 上山 博康 小林 延光 高村 春雄

出版者

一般社団法人 日本脳卒中の外科学会

雑誌

脳卒中の外科 (ISSN:09145508)

巻号頁・発行日

vol.24, no.2, pp.129-135, 1996-03-30 (Released:2012-10-29)

参考文献数

4

被引用文献数

7 6

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Casting hematoma and subarachnoid hemorrhage in acute subarachnoid hemorrhage causes serious consciousness disturbance and can be fatal. Severe subarachnoid hemorrhage with Fisher Group 3 or more causes symptomatic cerebral vasospasm, which greatly affects the prognosis in such serious cases. Here we report our procedure to remove intraventricular casting hematoma and subarachnoid clots to improve the prognosis in such serious cases.Intraventricular casting hematoma: Intraventricular casting hematoma is often found in ruptured anterior communicating artery aneurysm, and anterior interhemispheric approach (AIH) is used to clip the aneurysm. Intraventricular casting hematoma complicated with anterior communicating artery aneurysm, in many cases, ranges from the anterior horn of the lateral ventricle, to the body, posterior horn, inferior horn, and third ventricle. Removal of casting hematoma is possible from the anterior horn of the lateral ventricle by frontal corticotomy after AIH. The contralateral intraventricular casting hematoma can be treated by breaking the septum pellucidum, and the third ventricle can be treated via the foramen of Monro. After removal of the hematoma, drainage tubes are placed in the trigone and third ventricle to control the intracranial pressure.Subarachnoid clot: For subarachnoid hemorrhage in the acute stage, the irrigation suction system is applied with irrigation water, that is 500ml of saline mixed with 60,000 units of urokinase compressed to 400mmHg, to remove the subarachnoid clots as much as possible. In severe subarachnoid hemorrhage with Fisher Group 3 or more, the sylvian fissure is opened widely from the distal part to remove clots. In addition, clots are removed from the carotid cistern and prechiasmatic cistern, then the liequist membrane is opened, and clots are removed from the ambient cistern, interpeduncular cistern, and prepontine cistern not only in case of internal carotid aneurysm but also in case of middle cerebral aneurysm. Finally, the tip of the drainage tube should be placed in the opposite inlet of the ambient cistern. In case of anterior communicating aneurysm, removal of subarachnoid clots is basically limited to those in the anterior interhemispheric fissure and prechiasmatic cistern because the approach is made by AIH. Therefore, the frontal base should be opened with the bifrontobasal approach first, to allow the sylvian fissure to be easily opened by the frontobasal approach. Subarachnoid clots in the sylvian fissure can be removed by the frontobasal approach, and also from the interpeduncular cistern and prepontine cistern.By this method, consciousness disturbance was improved in early postoperative stages in intraventricular casting hematoma cases. In addition, extensive removal of subarachnoid clots significantly reduced the occurrences of symptomatic vasospasm.

著者

田辺 広

出版者

国公私立大学図書館協力委員会

雑誌

大学図書館研究 (ISSN:03860507)

巻号頁・発行日

vol.1, pp.13-16, 1972-12-20 (Released:2019-03-27)

著者

坪井 謙 八坂 剛一 田村 洋行 榎本 真也 中山 祐介 藤原 俊文 百村 伸一

出版者

一般社団法人 日本臨床救急医学会

雑誌

日本臨床救急医学会雑誌 (ISSN:13450581)

巻号頁・発行日

vol.14, no.4, pp.524-528, 2011-08-31 (Released:2023-03-31)

参考文献数

8

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病院前救護においてAutoPulse®️の使用が蘇生に奏効し,神経学的予後が良好であった心肺停止(cardiopulmonary arrest,以下CPA)患者の1例を経験した。症例は40歳,男性。自宅内で卒倒し呼名に反応しないため救急要請された。bystanderによる心肺蘇生はなかった。覚知6分後に患者と接触したが,心電図モニター上心静止であった。覚知9分後より心肺蘇生を開始し,AutoPulse®️を装着・作動開始した。覚知17分後当院搬入時心静止であったが,その後心室細動となり計4回の除細動にて心拍再開した。左冠動脈回旋枝に閉塞を認め,冠動脈ステント留置術を施行した。術後低体温療法を施行し,第39病日に自立生活可能となり退院した。CPAの病院前救護においてAutoPulse®️の有用性が示唆された。

著者

谷口 圭祐 松本 英樹 金木 健太郎 津野 佑太

出版者

一般社団法人 日本臨床救急医学会

雑誌

日本臨床救急医学会雑誌 (ISSN:13450581)

巻号頁・発行日

vol.24, no.3, pp.339-345, 2021-06-30 (Released:2021-06-30)

参考文献数

19

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目的:救急救命士の気管挿管病院実習にて患者の個人要因を調査し,直視型喉頭鏡を使用した場合での気管挿管困難予測因子について推論する。方法:麻酔導入時に患者の個人属性,上顎中切歯突出や義歯の有無,小顎,頸椎可動性,3-3-2の法則について確認し,気管挿管施行時に声門視認性(Modified Cormac-Lehane System;MCLS)を記録した。結果:MCLSを目的変数とした重回帰分析では,小顎(β=0.59;p<0.001),頸椎可動性(β=0.19;p<0.001)が有意な正のβを示し,性別が有意な負のβ(β=−0.34;p<0.001)を示した。結論:患者の性別,小顎,頸椎可動性は救急救命士による直視型喉頭鏡下の気管挿管困難との関連が示唆された。簡便な評価法として救急現場における気管挿管困難の予測に活用できる可能性が高い。

著者

加藤 貴雄

出版者

一般社団法人 日本不整脈心電学会

雑誌

心電図 (ISSN:02851660)

巻号頁・発行日

vol.40, no.4, pp.245-262, 2020-12-23 (Released:2020-12-26)

著者

伊勢貞丈 [著]

出版者

源勝行写

巻号頁・発行日

1840

出版者

[書写者不明]

巻号頁・発行日

0000

著者

菅野 盾樹

出版者

一般社団法人 人工知能学会

雑誌

人工知能 (ISSN:21882266)

巻号頁・発行日

vol.17, no.6, pp.760-770, 2002-11-01 (Released:2020-09-29)

出版者

[Information Dept., Ministry of Foreign Affairs]

巻号頁・発行日

0000

著者

森 千香子

出版者

関東社会学会

雑誌

年報社会学論集 (ISSN:09194363)

巻号頁・発行日

vol.2019, no.32, pp.34-43, 2019-08-23 (Released:2020-08-08)

参考文献数

21

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This article aims to analyze the transformation of what may be termed the politics of framing the concept of the “migrant-refugee.” The present paper examines the manner in which migrants and refugees are classified by the French administration and perceived by French society in the midst of the European “migrant-refugee crisis.” Three observations are made: (1) the differentiation between legitimate “refugees” and illegal “migrants”; (2) the justification of the exclusion of the latter in the name of guaranteeing protection for the former; and (3) the reconfiguration of the hierarchy of categories in the asylum system. These observations allow us to note several arguments contending that priority must be accorded to the individual rather than to the group and that these are favors granted rather than rights claimed; further, such logic fragments and places individuals in similar situations within a hierarchy. The combination of the aforementioned aspects poses a major challenge to the building of a collaborative and cohesive solidarity movement.

著者

Yoshitaka Wada Seiko Shibata Ayato Shinohara Koji Mizutani Masahiko Mukaino Yohei Otaka

出版者

Fujita Medical Society

雑誌

Fujita Medical Journal (ISSN:21897247)

巻号頁・発行日

pp.2023-015, (Released:2023-11-29)

参考文献数

29

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Objectives: To examine the functional outcomes of patients with coronavirus disease 2019 (COVID-19) who underwent a new protocol-based rehabilitation program.Methods: In this retrospective cohort study, we enrolled patients who were hospitalised in a university hospital in Japan because of COVID-19 from 1st September, 2020–5th July, 2021. The primary outcome was the Functional Independence Measure (FIM) subtotal score for motor items at discharge. The secondary outcomes included the FIM cognitive subtotal score, length of hospital stay, rehabilitation period, total rehabilitation time, final rehabilitation protocol level, and discharge destination.Results: Of the 78 enrolled patients (49 men; mean age [standard deviation], 70.3 [13.9] years), 24 died (30.8%) during hospitalisation. Disease severity was classified as mild, moderate I, moderate II, and severe in 1, 6, 41, and 30 patients, respectively. The FIM motor subtotal score differed significantly among groups for all participants (p=0.027). Post hoc analysis revealed that the FIM motor subtotal score in the severe group was significantly lower than that in the moderate II group (p=0.030).Conclusions: Disease severity significantly affected patients’ functional outcome for COVID-19 at discharge. Our protocol-based program provides a benchmark for COVID-19 rehabilitation in an acute care setting.

著者

Johannes M. Dijkstra Toshiharu Nagatsu

出版者

Fujita Medical Society

雑誌

Fujita Medical Journal (ISSN:21897247)

巻号頁・発行日

pp.2023-014, (Released:2023-11-29)

参考文献数

42

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Distinguished Professor Emeritus Tsuneko Okazaki is a hero of science. Together with her late husband, Professor Reiji Okazaki, she discovered that DNA replication involves the discontinuous synthesis of the DNA lagging strand by intermediates of, what is now called, “Okazaki fragments.” She has been a pioneer for women in science and, in 1983, became the first female full Professor at Nagoya University. From 1997 to 2012, she was a full Professor and later a Visiting Professor at Fujita Health University, and this review zooms in on that period. Besides a summary of her career, this article also includes personal memories of researchers who worked with Professor Okazaki.

著者

Makoto Hasegawa Yasuhiro Osugi Yoshifumi Moriwaki Yohei Doi

出版者

Fujita Medical Society

雑誌

Fujita Medical Journal (ISSN:21897247)

巻号頁・発行日

pp.2023-012, (Released:2023-11-29)

参考文献数

23

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Objectives: Multidrug-resistant (MDR) bacterial infections are highly prevalent among long-term care facility (LTCF) residents, and are thus important targets for antimicrobial stewardship. Diagnoses of urinary tract infections (UTIs), which are associated with antimicrobial use in these facilities, are not always made by physicians. Past epidemiologic studies have included asymptomatic bacteriuria together with UTIs. The National Healthcare Safety Network has initiated a surveillance program to identify the causative organisms of UTIs in LTCF residents. In Japan, medical care for these residents is provided through in-person physician visits; however, limited related data are available. Therefore, we investigated the organisms causing UTIs and their drug susceptibility among LTCF residents in central Japan, and examined the prevalence of multidrug resistance, its risk factors, and correlations with clinical outcomes.Methods: We retrospectively evaluated clinical and urine culture data of LTCF residents with physician-diagnosed UTIs between April 1, 2019, and April 30, 2022.Results: The detection rate of multidrug-resistant organisms was high, with Escherichia coli being the most prevalent. Ceftriaxone was frequently used for initial therapy. The initial antimicrobial agents were significantly less active against MDR pathogens than non-MDR pathogens. Most residents continued to receive the initial agents regardless of culture results. Nonetheless, differences in the therapy duration, relapse and hospitalization rates, and death rate within 28 days between the multidrug-resistant and non–multidrug-resistant groups were not significant.Conclusions: Antimicrobial stewardship is essential for reducing antimicrobial use and selective pressure in LTCFs in Japan; however, more specific data are needed for its effective implementation.

著者

Yuji Matsuwaki Takashi Muramatsu Yukio Ozaki Takashi Uwatoko Takuo Toriya Hidemaro Takatsu Yu Yoshiki Masataka Yoshinaga Masato Ishikawa Masaya Ohota Hideaki Ota Hideo Izawa

出版者

Fujita Medical Society

雑誌

Fujita Medical Journal (ISSN:21897247)

巻号頁・発行日

pp.2023-006, (Released:2023-11-29)

参考文献数

25

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Objective: To examine the clinical outcomes of optical coherence tomography (OCT)-guided percutaneous coronary intervention (PCI) in patients presenting with ST-segment elevation myocardial infarction (STEMI).Methods: We retrospectively investigated 533 consecutive patients who underwent primary PCI for STEMI between June 2016 and December 2020. The primary endpoint was a target lesion failure (TLF; defined as a composite of cardiac death, target vessel myocardial infarction, or target lesion revascularization). Propensity score (PS) matching was performed to allow direct comparison of OCT-guided and intravascular ultrasound (IVUS)-guided PCI.Results: Patients in the OCT group (n=166) were younger than those in the IVUS group (n=367) and had a significantly higher left ventricular ejection fraction and estimated glomerular filtration rate. Killip class IV and left main stem disease were more common in the IVUS group. The median peak creatine kinase level was comparable between the two groups (1953 U/L vs 1603 U/L). A significantly larger amount of contrast was used in the OCT group (200 mL vs 165 mL; p<0.001). The cumulative incidence of TLF during a median follow-up of 2.2 years did not differ significantly between OCT and IVUS groups (9.6% vs 13.6%; p=0.221) but cardiac mortality was significantly higher in the IVUS group (8.7% vs 3.6%; p=0.047). After PS matching (n=161 in each group), there was no significant between-group difference in TLF or any other clinical outcome measures.Conclusions: OCT-guided PCI demonstrated clinical outcomes in patients with STEMI that were comparable to those of IVUS-guided PCI despite considerable differences in background characteristics.

著者

真崎 茂法 河本 俊

出版者

一般社団法人 日本臨床栄養代謝学会

雑誌

学会誌JSPEN (ISSN:24344966)

巻号頁・発行日

vol.2, no.4, pp.252-261, 2020 (Released:2021-04-02)

参考文献数

45

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【背景】嚥下障害を有する高齢者に対する胃瘻からの経管経腸栄養(以下,胃瘻栄養と略)と中心静脈栄養の長期アウトカムの比較を行った.【対象・方法】2014年からの3年間で胃瘻栄養もしくは中心静脈栄養を開始した症例を対象とし,傾向スコアマッチングを行い主要アウトカムを生存期間,副次アウトカムを経口摂取回復,在宅復帰,重症肺炎,敗血症とした.【結果】253例(胃瘻栄養180例,中心静脈栄養73例)を同定し,それぞれ55例ずつにマッチングされた.生存期間中央値は胃瘻栄養群317日,中心静脈栄養群195日,ハザード比0.60(95%信頼区間,0.39-0.92;p=0.019)であった.重症肺炎は胃瘻栄養群に多く(50.9% vs 25.5%,p=0.010),敗血症は中心静脈栄養群に多かった(10.9% vs 30.9%,p=0.018).【結語】胃瘻栄養は中心静脈栄養に比べ有意に長い生存期間と敗血症のリスク低下をもたらすが,重症肺炎は有意に多かった.

著者

木村 雅行 池田 雅和 柴田 英之 池田 祥子 松本 圭介

出版者

日本食品化学学会

雑誌

日本食品化学学会誌 (ISSN:13412094)

巻号頁・発行日

vol.11, no.2, pp.67-74, 2004-09-28 (Released:2017-12-01)

参考文献数

13

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To estimate the laxative threshold (LT) and 50% effective dose (ED50) for diarrhea of a galactooligosaccharide (GOS) syrup (43% GOS ; 9.5% lactose ; 18% glucose ; 6.3% galactose ; 24% water), we asked 24 healthy subjects (12 men and 12 women ; age, 20 to 58 years ; weight, 39.0 to 96.0 kg) to ingest 190mL of aqueous solutions containing 5 different amounts (11.7,23.3,46.7, 70.0, 93.3g) of the syrup once every week from a low content to high one. Of the 24 subjects, 16 had diarrhea after ingestion of any test beverage. We estimeted the LT and ED50 of the GOS syrup by using a regression equation between the minimal dose levels (g/kg body weght) of the syrup caused diarrhea and the cumulative incidence of diarrhea. For the entire population, the estimated LT was 0.68 g/kg (0.30 g/kg as GOS) and the ED50 was 1.39 g/kg (0.60 g/kg as GOS). For men, the LT and ED50 were 0.65 g/kg and 1.13 g/kg, respectively, as compared with 0.90 g/kg and 1.50 g/kg for women. An increased frequency of bowel movements seemed to increase the incidence of diarrhea. The other abdominal symptoms reported were borborygmus (88%), flatus (58%), and abdominal distention (46%), all of which were transient, as was diarrhea. We also examined the safety of ingesting daily near amount of LT of the GOS syrup (15 g/person daily as GOS) for 2 weeks in 20 healthy adults. Although this dose increased the occurrence of abdominal gas in these subjects, the prevalence of diarrhea was unchanged as compared with that for the placebo beverage. These results show that the GOS syrup is safe even in repeated intake for near amount of LT.