著者
馬渡 耕史 春田 弘昭 大野 朗 中野 治
出版者
公益財団法人 日本心臓財団
雑誌
心臓 (ISSN:05864488)
巻号頁・発行日
vol.44, no.3, pp.304-312, 2012 (Released:2013-09-30)
参考文献数
37

1995年より2005年までに経験した急性大動脈解離92例を対象に, 臨床像と予後を検討した. 男性41例, 女性51例, 平均年齢72±37歳(35~93歳)で, Stanford A型(以下A型)49例, Stanford B型(以下B型)43例, DeBakey I型33例, DeBakey II型16例, DeBakey IIIa型10例, IIIb型32例, 腹部限局1例であった. A型49例のうち少なくとも2例がDeBakey IIIの経過中に逆行性解離をきたした症例であった. 偽腔開存型45例(A型32例, B型13例), 血栓閉塞型47例(A型17例, B型30例)で, A型に偽腔開存型が多かった. 発症後, 来院までは平均1.2±9.0時間(0.5~10.2時間)で, 8例は来院時心肺停止の心タンポナーデ例であった.心タンポナーデ例は全体25例で, 偽腔開存型18例, 血栓閉塞型7例であった. 25例中5例(偽腔開存型1例, 血栓閉塞型4例)で心嚢ドレナージ後の手術で救命できた. 心タンポナーデを呈さなかったが血性心嚢液を認めたのは4例で全例生存している. 1週間以降の合併症として血管径の拡大2例, 瘤破裂5例, 再解離1例, 再交通2例, 脳梗塞1例, 急性心筋梗塞1例, 腹部臓器虚血1例, 下肢虚血1例であった. 手術例は偽腔開存型15例, 血栓閉塞型7例であった. 死亡率は偽腔開存型が血栓閉塞型と比べて高かった(40% vs 0% p=0.049). 急性期の死亡は31例でA型が28例を占めていた. 生存例61例中の慢性期死亡は15例(24.6%)で大動脈解離関連の死亡は再解離と破裂の2例(3.3%)のみであった. 急性大動脈解離は心タンポナーデの危機を乗り越えられれば, その後の予後は比較的良好である.
出版者
前田喜兵衛等
巻号頁・発行日
vol.〔26〕 近頃河原達引堀川段,中将姫古跡松雪責段,忠臣義士伝赤垣, 1909
著者
加藤 正春
出版者
日本文化人類学会
雑誌
民族學研究 (ISSN:24240508)
巻号頁・発行日
vol.65, no.3, pp.209-229, 2000-12-30 (Released:2018-03-27)

かつての沖縄では,若者の死の直後に若者仲間が墓に赴き,歌舞音曲をともなった伽をする習俗がみられた。ワカリアシビー(別れ遊び)などと呼ばれたこの儀礼は,死んだ若者のモーアシビー(野遊び。青年男女の野外交遊のこと)仲間が夜毎に墓前に集い,そこで一時を遊び過ごすものであった。儀礼はほぼ一週間ほど続けられたが,いくつかの報告では,幕内から死者の棺箱を出したり,その蓋を開け,死者を座らせて行われることもあったとされている。また,墓前の仮小屋に短く織った手拭い(いんきや織りの手さじ)を飾って集う例も報告されている。儀礼は昭和時代に入ると行われなくなった。本稿では,19例の報告事例の検討から,この儀礼が野遊びの形態をとって死後に行われる若者仲間の追悼儀礼であり,幕内の死者の霊魂を幕前に招き出して行う,生者と死者との直接交流・交歓であることを明らかにする。若者たちが墓前に集まり,棺箱を墓から引き出すのは,死者に近づいて交流しようとする意図であり,短い手拭いをさげるのはそれを霊魂の依代として用い,そこに寄り憑いた死霊を実感するためである。また,引き出した棺箱を開け,死者を座らせるのは,生前と変わらぬ形で死者と直接に交流しようとする試みである。ただし,このような儀礼行為の前提には死の認識があり,死体の変化に対する人々の知識と経験が存在する。なお,儀礼には死霊の危険性に対する忌避観念が表出されていないようにみえる。これは,若者たちが死んだ仲間を追悼するために,死霊の危険性を受け入れた上で儀礼を行っているからである。それは,若者仲間の同輩結合の強さを示すものである。
著者
Tatsunosuke Gomi Jun Kitayuguchi Kenta Okuyama Masamitsu Kamada Shigeru Inoue Hiroharu Kamioka Yoshiteru Mutoh
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
vol.32, no.6, pp.290-297, 2022-06-05 (Released:2022-06-05)
参考文献数
42
被引用文献数
7

Background: Food access is an important aspect of health promotion for the elderly. The aim of this study was to investigate the relationship between distance to the nearest food store and diet variety in rural community-dwelling elderly Japanese.Methods: This cross-sectional study analyzed data from 1,103 elderly participants surveyed by mail in rural areas of Japan. Diversity of food intake was assessed using the diet variety score (DVS). Street network distance from home to food store was calculated and categorized by quartile using a geographic information system and analyzed in relation to diet using multivariable regression with the primary outcome as low DVS. Sub-analysis of the association with DVS was conducted for each food store category (convenience store, supermarket, and small food store). The association between intake frequency of each food group and distance was also analyzed.Results: Participants in the fourth quartile of distance to food store had significantly higher prevalence ratio (1.15; 95% CI, 1.01–1.32) for low DVS than those in the first quartile. There was a significant tendency between greater distance to food store and lower DVS (P for trend = 0.033). Supermarkets and convenience stores, in particular, showed significant associations. Greater distance was significantly associated with lower frequency of meat and fruit intake.Conclusion: There was significant association between distance to nearest food store and diet variety in rural Japanese elderly. These findings suggest the importance of interventions for areas at high risk of low diet variety, such as places far away from food stores.
著者
Yosuke Inoue Shuichiro Yamamoto Andrew Stickley Keisuke Kuwahara Toshiaki Miyamoto Tohru Nakagawa Toru Honda Teppei Imai Akiko Nishihara Isamu Kabe Tetsuya Mizoue Seitaro Dohi
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
vol.32, no.6, pp.283-289, 2022-06-05 (Released:2022-06-05)
参考文献数
45
被引用文献数
3 5

Background: Although previous research has focused on the association between long working hours and several mental health outcomes, little is known about the association in relation to mental health-related sickness absence, which is a measure of productive loss. We aimed to investigate the association between overtime work and the incidence of long-term sickness absence (LTSA) due to mental disorders.Methods: Data came from the Japan Epidemiology Collaboration on Occupational Health Study (J-ECOH). A total of 47,422 subjects were followed-up in the period between April 2012 and March 2017. Information on LTSA was obtained via a study-specific registry. Baseline information was obtained at an annual health checkup in 2011; overtime working hours were categorized into <45; 45–79; 80–99; and ≥100 hours/month.Results: During a total follow-up period of 211,443 person-years, 536 people took LTSA due to mental disorders. A Cox proportional hazards model showed that compared to those with less than 45 hours/month of overtime work, those with 45–79 hours/month were at a lower risk of LTSA due to mental health problems (hazard ratio [HR] 0.63; 95% confidence interval [CI], 0.56–0.71) while those with overtime work of ≥100 hours/month had a 2.11 (95% CI, 1.12–3.98) times higher risk of LTSA due to mental health problems.Conclusion: Engaging in excessive overtime work was linked with a higher risk of LTSA due to mental health problems while the lower risk observed among individuals working 45–79 hours/month of overtime work might have been due to a healthy worker effect.

1 0 0 0 OA メートルの話

著者
石川 純
出版者
公益社団法人 精密工学会
雑誌
精密工学会誌 (ISSN:09120289)
巻号頁・発行日
vol.70, no.10, pp.1246-1249, 2004-10-05 (Released:2009-04-10)
参考文献数
4
著者
Jürgen SCHMIDHUBER
出版者
The Society of Instrument and Control Engineers
雑誌
計測と制御 (ISSN:04534662)
巻号頁・発行日
vol.48, no.1, pp.21-32, 2009-01-10 (Released:2022-06-29)
参考文献数
81

In this summary of previous work, I argue that data becomes temporarily interesting by itself to some self-improving, but computationally limited, subjective observer once he learns to predict or compress the data in a better way, thus making it subjectively more “beautiful.” Curiosity is the desire to create or discover more non-random, non-arbitrary, “truly novel,” regular data that allows for compression progress because its regularity was not yet known. This drive maximizes “interestingness,” the first derivative of subjective beauty or compressibility, that is, the steepness of the learning curve. It motivates exploring infants, pure mathematicians, composers, artists, dancers, comedians, yourself, and recent artificial systems.

1 0 0 0 政治学入門

著者
加藤秀治郎著
出版者
芦書房
巻号頁・発行日
2011

1 0 0 0 比較政治学

著者
粕谷祐子著
出版者
ミネルヴァ書房
巻号頁・発行日
2014
著者
加藤秀治郎 [ほか] 著
出版者
一藝社
巻号頁・発行日
2002
著者
Hiroaki Satoh Kanako Okazaki Tetsuya Ohira Akira Sakai Mitsuaki Hosoya Seiji Yasumura Yukihiko Kawasaki Koichi Hashimoto Akira Ohtsuru Atsushi Takahashi Kazuyuki Watanabe Michio Shimabukuro Junichiro James Kazama Shigeatsu Hashimoto Gen Kobashi Hiromasa Ohira Hitoshi Ohto Kenji Kamiya
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
vol.32, no.6, pp.277-282, 2022-06-05 (Released:2022-06-05)
参考文献数
17
被引用文献数
3

Background: The Great East Japan Earthquake and the Fukushima Daiichi nuclear disaster forced the evacuation of residents and led to many changes in lifestyle for the evacuees. The Comprehensive Health Check was implemented to support the prevention of lifestyle-related disease and we analyzed the effect of prolonged evacuation (average of 3.0 years) on the new onset of hyper-LDL cholesterolemia.Methods: The study participants were Japanese adults living near the Fukushima Daiichi nuclear power plant in Fukushima Prefecture. Annual health checkups focusing on metabolic syndromes were conducted for persons ≥40 years by the Specific Health Checkup. Based on data from annual checkups from 2011 or 2012, we followed 18,670 participants without hyper-LDL cholesterolemia who underwent at least one other annual checkup during 2013–2015.Results: We found that the new onset of hyper-LDL cholesterolemia was 31% higher in evacuees than in non-evacuees. Evacuees had a significantly higher prevalence of obesity, hypertension, and diabetes, and higher frequency of weight change. Furthermore, logistic regression model analysis showed that the evacuation was significantly associated with the new onset of hyper-LDL cholesterolemia after adjusting age, gender, body mass index, smoking habit, alcohol consumption, diabetes, weight change, sleep deprivation, and exercise.Conclusion: The findings of the present study suggest that prolonged evacuation after a disaster is a risk factor for the new onset of hyper-LDL cholesterolemia, and lead to an increase in cardiovascular disease. It is therefore important to follow-up evacuees and recommend lifestyle changes where necessary.
著者
Yukihiro Sato Eiji Yoshioka Yasuaki Saijo Toshinobu Miyamoto Hiroshi Azuma Yusuke Tanahashi Yoshiya Ito Sumitaka Kobayashi Machiko Minatoya Yu Ait Bamai Keiko Yamazaki Sachiko Itoh Chihiro Miyashita Atsuko Ikeda-Araki Reiko Kishi The Japan Environment and Children’s Study (JECS) Group
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
vol.32, no.6, pp.270-276, 2022-06-05 (Released:2022-06-05)
参考文献数
32
被引用文献数
1 3

Background: Lower respiratory tract infections (LRTIs) are a cause of inpatient and outpatient care among children. Although orofacial clefts seem to be associated with LRTIs, epidemiological studies are scarce on this topic. This study aimed to examine whether infants with orofacial clefts were associated with LRTIs.Methods: This prospective cohort study used data from the Japan Environment and Children’s Study, for which baseline recruitment was conducted during 2011–2014. This study included 81,535 participants. The number of infants with cleft lip and palate (CLP), cleft lip (CL), and cleft palate only (CP) was 67, 49, and 36, respectively. We defined history of LRTIs until 12 months’ age reported by their mothers as the dependent variable. Accumulated breastfeeding duration was used as a potential mediator.Results: The incidence proportion of LRTIs among the control group was 6.0%. The incidence proportion among infants with CLP, CL, and CP were 11.9%, 14.3%, and 5.6%, respectively. After adjusting for covariates, compared with the control group, infants with CLP and CL were associated with risk of LRTIs (incidence risk ratio [IRR] of CLP, 2.38; 95% confidence interval [CI], 1.30–4.36 and IRR of CL, 2.73; 95% CI, 1.40–5.33), but not ones with CP (IRR 1.08; 95% CI, 0.28–4.15). Accumulated breastfeeding duration decreased the IRR of CLP only (IRR of CLP, 2.16; 95% CI, 1.19–3.93).Conclusion: Infants with orofacial clefts aged 1 year have a potentially high incidence proportion of LRTIs. Accumulated breastfeeding duration might mediate the associations of CLP.